go back

Iowa rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.88 / $233.88 / $369.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $233.88 / $6,359.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.70 / $167.70 / $167.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.39 / $177.81 / $207.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.66 / $164.59 / $374.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $195.96 / $251.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.13 / $168.13 / $239.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.96 / $248.84 / $389.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.12 / $201.76 / $434.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $169.53
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $168.13 / $168.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.13 / $168.13 / $168.13