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Missouri rates for HCPCS J9050

Injection, carmustine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $900.00 / $1,224.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $243.23 / $900.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.46 / $255.15 / $856.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.94 / $302.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.96 / $224.96 / $238.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $303.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $265.68 / $1,035.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.13 / $184.06 / $16,586.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $252.19 / $332.89