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Iowa rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.15 / $253.15 / $568.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.15 / $258.64 / $459.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.61 / $258.64 / $323.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.57 / $258.64 / $447.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.99 / $258.52 / $436.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.52 / $284.37 / $6,942.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.64 / $373.40 / $449.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.39 / $298.72 / $387.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $512.13 / $540.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $271.57 / $307.77
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.89 / $282.89 / $282.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.49 / $282.89 / $282.89