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Missouri rates for HCPCS J9302

Injection, ofatumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.92 / $72.40 / $85.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $57.92 / $72.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.96 / $81.45 / $229.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $60.09 / $72.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $72.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.92 / $72.40 / $108.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $63.96 / $2,649.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.53 / $60.34 / $71.26