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Iowa rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,987.60 / $27,987.60 / $83,215.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $23,229.71 / $27,987.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,831.29 / $3,990.00 / $23,789.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.56 / $28,006.78 / $29,771.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,831.29 / $24,228.42 / $37,666.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,592.60 / $24,722.38 / $103,405.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,639.87 / $3,299.84 / $44,514.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,639.87 / $3,178.63 / $4,745.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $3,094.00 / $3,094.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $24,022.69 / $27,754.37
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,054.68 / $27,054.68 / $27,054.68
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,373.20 / $27,054.68 / $27,054.68