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Iowa rates for HCPCS J9302

Injection, ofatumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $63.10 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $61.66 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $64.57 / $91.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $186.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $63.10 / $239.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $67.61 / $2,630.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $239.88 / $281.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $114.82 / $162.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $83.18 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $72.44
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $69.18 / $69.18