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Missouri rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $44.09 / $50.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.96 / $44.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.45 / $27.47 / $66.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.33 / $32.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $23.78 / $25.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $32.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $35.06 / $48.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $24.91 / $565.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $25.20 / $31.50