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Missouri rates for HCPCS J7686

Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $954.99 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $831.76 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $2,089.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $812.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $851.14 / $3,388.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $794.33 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $1,023.29 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $794.33 / $977.24