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Iowa rates for HCPCS J7178

Injection, human fibrinogen concentrate, not otherwise specified, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.53 / $3.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.52 / $2.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.53 / $1.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.22 / $2.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.78 / $3.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.55
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52