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Iowa rates for HCPCS J2350

Injection, ocrelizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.56 / $82.56 / $44,218.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $82.56 / $55,018.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.53 / $60.53 / $60.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $63.05 / $73.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.36 / $59.41 / $159.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.70 / $69.37 / $89.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.70 / $59.70 / $88.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.37 / $88.16 / $138.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.98 / $71.64 / $146.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $61.19
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.70 / $59.70 / $59.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.70 / $59.70 / $59.70