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Idaho rates for HCPCS J0257

Glassia Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $5.71 / $6.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.20 / $7.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.64 / $5.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.20 / $7.47 / $10.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $7.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $5.85 / $10.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $6.77 / $6.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $7.17