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Iowa rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $33.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $48.18 / $125.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.42 / $37.34 / $46.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.31 / $27.31 / $32.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.57 / $32.77 / $40.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.42 / $32.74 / $43.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $27.42
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $27.31 / $27.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.31 / $27.31 / $27.31