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Missouri rates for HCPCS J9340

Injection, thiotepa, 15 mg

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.05 / $262.20 / $880.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.17 / $252.17 / $317.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $2,376.94 / $2,376.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.75 / $2,184.00 / $2,184.00