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Idaho rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.66 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.42 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $3.20 / $4.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.78 / $3.03
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
$2.38 / $3.41 / $5.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $3.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42