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Iowa rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.47 / $3.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.34 / $331.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.51 / $2.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.51 / $2.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $2.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.58