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Idaho rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $74.13 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $47.86 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.80 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $28.18 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $12.88 / $19.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $16.22 / $93.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.13 / $16.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $27.54 / $48.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $14.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $29.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.13 / $27.54