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Iowa rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.82 / $4.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.45 / $3.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.47 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $4.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $3.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.95 / $2.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.51
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40