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Idaho rates for HCPCS J0456

Azithromycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $8.27 / $55.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.54 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.87 / $44.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $2.44 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.26