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Iowa rates for HCPCS J0720

Injection Chloramphenicol Sodium Succinate Up To 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.38 / $58.38 / $129.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $58.38 / $85.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $41.03 / $51.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $49.55 / $58.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $49.55 / $58.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $48.65 / $65.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $47.85 / $63.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $48.54 / $65.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $49.62
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.65 / $48.65 / $48.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $48.65