go back

Iowa rates for HCPCS J0456

Azithromycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $8.66 / $110.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.68 / $10.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.67 / $2.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.69 / $43.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.68 / $44.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $5.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $3.14 / $4.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.19 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.24
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61