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Iowa rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $4,897.79 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $6,309.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $1,380.38 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,174.90 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,548.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,348.96 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,897.79 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,897.79 / $5,128.61
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13