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Idaho rates for HCPCS J0190

Injection, biperiden lactate, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.75 / $3.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.96 / $3.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00