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Iowa rates for HCPCS J1620

Injection Gonadorelin Hydrochloride Per 100 Mcg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.09 / $408.66 / $632.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.09 / $170.09 / $170.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.38 / $197.74 / $232.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.80 / $150.00 / $315.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $224.71 / $304.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $224.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.00 / $224.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.71 / $332.51 / $332.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.30 / $180.30 / $191.28