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Idaho rates for HCPCS J0715

Injection, ceftizoxime sodium, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $5.70 / $5.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.84 / $5.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.93 / $7.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $7.34