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Missouri rates for HCPCS J9155

Injection, degarelix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $7.33 / $193.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.54 / $7.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $6.01 / $15.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.20 / $4.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $6.06 / $8.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.62 / $1,033.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.45 / $5.45