go back

Missouri rates for HCPCS J9228

Injection, ipilimumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $218.78 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $190.55 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $199.53 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $186.21 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $213.80 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $194.98 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $218.78 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $186.21 / $213.80