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Iowa rates for HCPCS J7170

Injection Emicizumab-Kxwh 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.54 / $72.54 / $126.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $72.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.82 / $52.82 / $52.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.95 / $52.95 / $66.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.25 / $56.10 / $116.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.82 / $59.98 / $72.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.43 / $57.43 / $70.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.30 / $78.03 / $122.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.70 / $65.87 / $120.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $57.78
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.43 / $57.43 / $57.43
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.43 / $57.43 / $57.43