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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
$1,576.02 / $1,584.00 / $2,310.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,584.00 / $3,312.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.24 / $1,063.24 / $1,329.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.12 / $1,045.15 / $1,963.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.14 / $1,232.59 / $1,607.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.14 / $1,044.14 / $1,540.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.31 / $1,517.28 / $2,413.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.97 / $1,252.97 / $3,215.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.86 / $1,721.86 / $1,721.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,149.67
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.14 / $1,044.14 / $1,044.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.14 / $1,044.14 / $1,044.14