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Iowa rates for HCPCS J3280

Injection Thiethylperazine Maleate Up To 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $14.26 / $22.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $5.94 / $5.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.44 / $6.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.77 / $28.45 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $6.00 / $16.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $8.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $6.00 / $8.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $6.66 / $11.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.90