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Iowa rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $4.27 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.57 / $2.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $4.57 / $43.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.72 / $53.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $7.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $3.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.24
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04