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Iowa rates for HCPCS J3396

Injection, verteporfin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.83 / $11.83 / $25.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.83 / $21.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $11.95 / $14.67
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $11.54 / $27.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $13.00 / $17.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $17.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $17.25 / $24.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $13.58 / $22.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.89
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $11.55 / $11.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $11.55