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Iowa rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.39 / $9.08 / $198.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $8.39 / $19.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.15 / $6.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $8.00 / $22.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $6.58 / $9.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $9.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.08 / $6.12 / $7.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $6.12 / $12.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.92
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13