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Idaho rates for HCPCS J0697

Injection, sterile cefuroxime sodium, per 750 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.04 / $2.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.85 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.45 / $3.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.59