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Iowa rates for HCPCS A4211

Supplies for self-administered injections

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.48 / $1.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $275.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.50 / $4.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.20 / $1.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.21 / $1.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.20 / $1.21
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.00 / $1.00