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Iowa rates for HCPCS J0257

Glassia Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.82 / $6.82 / $12.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.82 / $12.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.74 / $5.74 / $5.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $5.55 / $6.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $5.64 / $15.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $6.54 / $7.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.66 / $5.71 / $8.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $8.27 / $11.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $6.35 / $9.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.81
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $5.71 / $5.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $5.71 / $5.71