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Iowa rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.68 / $67.68 / $149.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $54.14 / $67.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.40 / $56.40 / $56.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $59.61 / $70.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.38 / $158.91 / $162.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $67.68 / $91.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $58.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $97.07 / $123.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $67.73 / $67.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $58.09
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.40 / $56.40 / $56.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $56.40