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Idaho rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $42.18 / $83.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.13 / $6.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.51 / $4.78 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $6.73 / $36.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $5.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $5.74 / $5.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $7.65