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Iowa rates for HCPCS 80364

Opioids and opiate analogs; 5 or more

Facilitymedian $4 · 10th–90th $4–$190%50%90th$4Professionalmedian $68 · 10th–90th $25–$980%20%10th90th$68$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $67.61
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $97.72 / $218.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $21.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $24.55 / $24.55