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Iowa rates for HCPCS J2543

Injection Piperacillin Sodium/Tazobactam Sodium 1 Gram/0.125 Grams (1.125 Grams) (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $15.90 / $126.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.18 / $4.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.34 / $1.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.94 / $20.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $2.06 / $28.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $3.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.36 / $3.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.83 / $4.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.10
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11