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Missouri rates for HCPCS J9301

Injection, obinutuzumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $103.35 / $9,535.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $80.58 / $979.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $75.20 / $75.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $106.65 / $283.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $98.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.52 / $74.52 / $79.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $100.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.45 / $94.86 / $148.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.01 / $83.17 / $6,210.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.29 / $83.54 / $94.01