go back

Idaho rates for HCPCS J0132

Injection, acetylcysteine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $660.69 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $3.63 / $7.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.58 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.37 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $363.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $2.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.46
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $5.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.59