go back

Missouri rates for HCPCS J9228

Injection, ipilimumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.95 / $223.70 / $19,831.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $187.15 / $236.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.48 / $247.70 / $659.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $229.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.09 / $173.09 / $183.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $221.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.41 / $213.05 / $336.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.71 / $193.96 / $7,591.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.41 / $184.71 / $217.31