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Iowa rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,893.61 / $3,893.61 / $8,091.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,893.61 / $33,428.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,729.90 / $3,729.90 / $3,729.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,632.59 / $3,632.59 / $4,540.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.78 / $3,660.83 / $5,994.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.48 / $3,837.14 / $4,615.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,883.96 / $3,638.86 / $4,615.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,837.14 / $5,325.08 / $7,100.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.31 / $4,047.05 / $5,325.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,770.65
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,638.86 / $3,638.86 / $3,638.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,638.86 / $3,638.86 / $3,638.86