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Iowa rates for HCPCS J0706

Injection Caffeine Citrate 5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $3.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.87 / $0.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $3.41 / $5.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.86 / $5.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.21 / $5.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $3.75 / $5.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $3.75 / $7.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.25
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00