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Iowa rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.31 / $31.98 / $49.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.31 / $13.31 / $13.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $12.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.48 / $53.48 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $8.63 / $23.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $8.63 / $8.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.00 / $8.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $8.63 / $8.63