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Iowa rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.74 / $35.74 / $79.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.74 / $59.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $34.65 / $43.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.20 / $35.54 / $64.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $35.90 / $43.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $35.90 / $43.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $43.10 / $67.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $33.90 / $50.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $36.61
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $35.90 / $35.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $35.90 / $35.90