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Wyoming rates for HCPCS J1437

Injection, ferric derisomaltose, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $18.95 / $18.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $18.95 / $22.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.26 / $43.83 / $43.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.77 / $20.77 / $20.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $31.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02