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Idaho rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Facilitymedian $74 · 10th–90th $35–$1480%10%10th90th$74Professionalmedian $54 · 10th–90th $52–$650%50%10th90th$54$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $53.70 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $66.07 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $61.66 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $54.95 / $79.43
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $54.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $89.13 / $154.88
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $100.00 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23