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Iowa rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.58 / $1.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.04 / $3.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.70 / $0.80
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.13 / $6.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.00 / $1.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $1.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.74 / $1.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $1.03 / $2.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.69
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62