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Idaho rates for HCPCS J0280

Injection, aminophylline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.48 / $9.55 / $55.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.30 / $10.34 / $12.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.76 / $10.34 / $10.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $12.93 / $18.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $12.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $12.41 / $12.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34