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Iowa rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.77 / $513.77 / $1,124.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $513.77 / $1,063.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.36 / $518.36 / $518.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.03 / $494.03 / $617.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.22 / $508.76 / $920.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.00 / $581.85 / $746.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.37 / $505.51 / $727.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.57 / $606.61 / $872.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.50 / $552.80 / $799.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $524.02
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.51 / $505.51 / $505.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.51 / $505.51 / $505.51