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Idaho rates for HCPCS J0132

Injection, acetylcysteine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $363.13 / $853.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.42 / $0.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.38 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.51 / $0.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.62