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Iowa rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $29.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $3.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.86 / $2.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $3.31 / $7.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $2.09 / $2.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $552.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $2.17 / $2.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $2.17 / $2.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.80 / $3.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.88
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.83 / $1.83