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Idaho rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.70 / $49.62 / $50.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.99 / $50.21 / $71.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.17 / $17.17 / $23.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.26 / $50.26 / $50.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $62.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $53.03