Indigotindisulfonate 8 mg/ml soln 5 ml ampule cost in Iowa

indigotindisulfonate 8 MG/ML Soln 5 mL Ampule · HCPCS J9220

Hospital City Cash price Negotiated range Payers
UnityPoint Health - Marshalltown Marshalltown not published $10.16 – $10.45 6
UnityPoint Health - St. Luke's Hospital Cedar Rapids not published $10.16 – $10.45 6
UnityPoint Health - Trinity Regional Medical Center Fort Dodge not published $10.16 – $10.45 4
UnityPoint Health - Trinity Muscatine Muscatine not published $9.96 – $15.93 8
UnityPoint Health - St. Lukes Downtown Sioux City not published $10.16 – $10.45 6
UnityPoint Health - Iowa Lutheran Hospital Des Moines not published $10.16 – $10.45 6
UnityPoint Health - Grinnell Regional Medical Center Grinnell not published $10.16 – $10.45 6
MercyOne Genesis Davenport West Medical Center Davenport not published $9.96 – $13.94 2
UnityPoint Health - Finley Hospital Dubuque not published $10.16 – $11.55 7
UnityPoint Health - Allen Hospital Waterloo not published $10.16 – $10.45 6
MercyOne Genesis Davenport Medical Center Davenport not published $9.53 – $13.94 2