IV cipaglucosidase alfa-atga cost in Missouri

Iv cipaglucosidase alfa-atga ยท HCPCS G0138

Hospital City Cash price Negotiated range Payers
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $167.50 โ€“ $167.50 1
SSM Health St. Mary's Hospital - Jefferson City Jefferson City not published $282.73 โ€“ $1,147.93 8
SSM Health Saint Louis University Hospital Saint Louis not published $196.89 โ€“ $765.28 6