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Iowa rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.18 / $64.18 / $141.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $51.34 / $64.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.75 / $60.75 / $75.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.15 / $42.72 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $64.18 / $86.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.09 / $56.42 / $70.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.00 / $77.20 / $116.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.76 / $67.76 / $78.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $57.55
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $56.42