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Missouri rates for HCPCS Q4074

Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $162.18 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $162.18 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $269.15 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $169.82 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $158.49 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $199.53 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $158.49 / $177.83