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Idaho rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.70 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.84 / $1.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.01