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Iowa rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $58.88 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $48.98 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $51.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $50.12 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $50.12 / $63.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $48.98 / $64.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $50.12
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98