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Iowa rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.55 / $27.74 / $38.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $27.74 / $36.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.18 / $17.18 / $17.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $21.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $30.48 / $46.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $19.93 / $27.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $19.70 / $24.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.94 / $24.92 / $39.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $19.96 / $35.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $17.68 / $18.86
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $17.59 / $17.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $17.59 / $17.59