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Missouri rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,390.10 / $27,987.60 / $38,063.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $22,390.08 / $27,987.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,004.74 / $10,516.59 / $39,649.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,990.70 / $20,990.70 / $27,987.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $27,987.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,390.08 / $27,763.70 / $34,256.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,113.09 / $24,722.38 / $103,405.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,213.03 / $24,213.03 / $24,213.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $27,544.57