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Iowa rates for HCPCS J2778

Ranibizumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.52 / $404.07 / $404.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $849.59 / $2,027.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.14 / $108.50 / $115.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $285.48 / $625.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.11 / $139.24 / $566.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $91.11 / $567.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.50 / $216.97 / $457.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.33 / $390.56 / $794.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $88.97
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.11 / $91.11 / $91.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $91.11 / $91.11