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Iowa rates for HCPCS J0207

Injection, amifostine, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.98 / $1,124.98 / $2,471.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.55 / $1,067.11 / $2,975.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.78 / $1,092.83 / $1,446.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.20 / $1,847.01 / $2,732.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.87 / $1,028.55 / $1,337.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.84 / $1,135.69 / $4,885.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.00 / $545.78 / $1,286.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.11 / $732.95 / $1,591.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $563.29 / $764.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.41 / $1,103.55 / $1,274.98
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.41 / $1,071.41 / $1,071.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.41 / $1,071.41 / $1,071.41