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Missouri rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.20 / $903.43 / $903.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.32 / $883.52 / $1,112.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $981.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.58 / $1,001.21 / $1,243.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.20 / $1,211.61 / $1,523.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.85 / $1,246.46 / $1,725.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.44 / $1,308.77 / $5,826.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.44 / $1,308.77 / $1,308.77