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Iowa rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Facilitymedian $58 · 10th–90th $40–$980%20%10th90th$58Professionalmedian $62 · 10th–90th $58–$980%50%10th90th$62$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $97.72 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $61.66 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $74.13
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $70.79 / $275.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $67.61 / $426.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $40.74 / $138.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $79.43 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $57.54 / $61.66
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $57.54