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Iowa rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $12.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $14.45 / $18.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $14.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $13.49