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Iowa rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.74 / $557.74 / $1,234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.74 / $558.46 / $1,422.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.99 / $568.99 / $568.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.83 / $573.75 / $691.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.05 / $558.46 / $1,216.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.74 / $637.00 / $835.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.55 / $558.55 / $813.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.16 / $813.33 / $1,140.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.39 / $651.58 / $1,140.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $614.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.55 / $558.55 / $558.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.55 / $558.55 / $558.55