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Iowa rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $3.72 / $68.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.75 / $3.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.75 / $3.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.68 / $3.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.64 / $1.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.49 / $2.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.35 / $2.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.79
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64