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Idaho rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $5.19 / $5.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $6.00 / $6.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $6.82 / $9.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $5.16 / $5.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.67 / $9.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.55 / $6.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.90