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Missouri rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $436.52 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $398.11 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $407.38 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $380.19 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $467.74 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $467.74 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $457.09