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Missouri rates for HCPCS J9293

Injection, mitoxantrone HCl, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $87.03 / $102.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $24.35 / $87.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $25.55 / $85.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $24.00 / $30.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $22.53 / $23.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $30.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $43.38 / $87.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.71 / $31.38 / $1,372.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $33.34