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Missouri rates for HCPCS J9229

Injection, inotuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,162.28 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,981.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,019.95 / $9,772.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,818.38 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,818.38 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,162.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,019.95 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,884.03 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,235.94 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,818.38 / $3,162.28