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Iowa rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $588.84 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $457.09 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $478.63 / $537.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $436.52 / $575.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $436.52 / $691.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $436.52 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $446.68
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52