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Iowa rates for HCPCS J2840

Injection, sebelipase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.60 / $612.60 / $1,354.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.08 / $490.08 / $612.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.50 / $510.50 / $510.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.49 / $539.54 / $638.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $614.40 / $627.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $539.69 / $613.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $525.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.11 / $890.21 / $1,300.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.11 / $613.11 / $613.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $525.82
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.50 / $510.50 / $510.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $510.50