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Idaho rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.23 / $1.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.33 / $3.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $2.89 / $3.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21