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Iowa rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $19.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.89 / $11.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.55 / $5.55 / $5.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $5.46 / $9.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.89 / $7.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.19 / $7.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $7.64 / $10.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.93 / $10.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $5.19 / $5.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.19 / $5.19