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Iowa rates for HCPCS A4223

Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.67 / $71.22 / $84.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.10 / $105.60 / $275.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $71.06 / $81.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $71.06 / $71.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.06 / $71.06 / $71.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $71.06 / $71.22
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.13 / $318.13 / $318.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.40 / $86.40 / $86.40
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.30 / $59.30 / $59.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.85 / $59.30 / $59.30