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Iowa rates for RC 0636

Pharmacy Extension of 025X-Drugs Requiring Detailed Coding

Facilitymedian $3,236 · 10th–90th $151$8,9130%20%10th90th$3,236$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $3.63 / $51.29
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $3,235.94 / $8,912.51
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $28,183.83 / $40,738.03