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Idaho rates for HCPCS J0716

Injection Centruroides Immune F(Ab)2 Up To 120 Milligrams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,036.26 / $5,351.02 / $5,413.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,351.02 / $5,738.82 / $7,741.99
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
$4,908.33 / $7,140.30 / $12,975.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $6,688.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.10 / $5,246.10 / $5,246.10