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Iowa rates for HCPCS J1448

Injection Trilaciclib 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $6.36 / $12.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $5.48 / $6.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $9.58 / $14.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $6.36 / $8.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.93 / $6.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $8.06 / $12.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.47 / $8.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.62 / $6.50
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39