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Iowa rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $2.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.32 / $1.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.23 / $4.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.32 / $1.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.67 / $2.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.45 / $3.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.27
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21