go back

Iowa rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $93.33 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $83.18 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $83.18 / $104.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $165.96 / $245.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $91.20 / $138.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $338.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $97.72 / $123.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $100.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $144.54 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $97.72
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $89.13