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Iowa rates for HCPCS J0222

Injection, patisiran, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.42 / $117.42 / $220.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.97 / $117.42 / $256.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.85 / $101.85 / $101.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.91 / $106.48 / $126.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.97 / $150.00 / $221.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $117.42 / $152.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.82 / $99.82 / $148.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.60 / $148.25 / $232.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.67 / $119.78 / $250.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.97 / $99.97 / $102.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82