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Idaho rates for HCPCS 90296

Diphtheria antitoxin, equine, any route

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $194.98 / $5,248.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62