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Idaho rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.41 / $44.80 / $155.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.48 / $26.40 / $26.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.20 / $14.34 / $52.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $15.69 / $19.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.73 / $23.66 / $27.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $16.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $30.47 / $49.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $23.28 / $24.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $8.06 / $22.30