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Missouri rates for HCPCS J9027

Injection, clofarabine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.72 / $114.00 / $155.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.26 / $114.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $4.48 / $15.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.21 / $5.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $3.95 / $4.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $5.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.72 / $22.52 / $114.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $15.60 / $3,115.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.99