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Missouri rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $41.89 / $56.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $37.00 / $43.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.26 / $36.26 / $36.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $48.98 / $130.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $45.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $43.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $41.89 / $70.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.10 / $38.34 / $156.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.77 / $36.28 / $42.85