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Missouri rates for HCPCS Q9991

Injection, buprenorphine extended-release (Sublocade), less than or equal to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,035.85 / $2,569.26 / $3,455.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,076.92 / $2,419.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $3,427.91 / $7,242.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,520.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.29 / $1,902.29 / $2,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.55 / $2,419.69 / $9,626.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.07 / $1,976.55 / $2,273.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.96 / $2,016.42 / $2,333.00