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Iowa rates for HCPCS J1458

Injection, galsulfase, 1 mg

Facilitymedian $513 · 10th–90th $513–$5250%50%90th$513Professionalmedian $525 · 10th–90th $513–$8130%50%10th90th$525$0.5$2.0$10.0$50.0$200.0$1.0K

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
$512.86 / $524.81 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $524.81 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $660.69
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $446.68 / $512.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $575.44 / $912.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $501.19 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $630.96 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $512.86 / $524.81
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86