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Missouri rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $92.92 / $74,301.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $83.72 / $98.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.07 / $110.81 / $294.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $102.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.43 / $77.43 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $96.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $92.92 / $155.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.53 / $86.62 / $337.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.78 / $82.08 / $95.21