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Iowa rates for HCPCS J1568

Octagam Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.02 / $84.99 / $106.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $84.99 / $8,246.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.41 / $48.41 / $48.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $61.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $71.09 / $151.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.38 / $57.67 / $84.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.38 / $54.19 / $76.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.32 / $73.95 / $98.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.35 / $56.20 / $76.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $53.23 / $53.23
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.38 / $48.38 / $48.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.38 / $48.38 / $48.38