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Idaho rates for HCPCS J0365

Injection, aprotinin, 10,000 kiu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.25 / $2.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.42 / $3.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.09 / $3.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $4.07 / $5.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $4.24