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Iowa rates for HCPCS J0743

Cilastatin Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.52 / $12.38 / $22.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $11.70 / $16.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $8.69 / $9.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $10.25 / $40.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.29 / $9.86 / $12.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $6.97 / $12.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $8.80 / $11.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $8.36 / $14.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.56
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $6.97 / $6.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $6.97 / $6.97