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Iowa rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $4.33 / $4.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.81
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $9.91 / $11.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.40 / $3.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.40 / $2.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.82 / $2.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.22 / $3.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.47