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Iowa rates for HCPCS J0745

Injection Codeine Phosphate Per 30 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $2.92 / $3.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.34 / $328.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.52 / $2.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $2.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.37 / $1.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.64 / $2.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.57