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Missouri rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.52 / $292.80 / $49,460.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $263.81 / $312.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.64 / $349.16 / $929.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $323.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $244.00 / $258.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $305.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.82 / $292.80 / $451.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.96 / $273.39 / $6,942.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.88 / $258.64 / $305.45