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Idaho rates for HCPCS 80375

Drug/Substance Definitive Qual/Quant Nos 1-3

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $23.95 / $29.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $56.50 / $56.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.32 / $41.32 / $42.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $10.16 / $28.86