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Idaho rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.12 / $1.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $1.20 / $1.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.76 / $1.76
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
$34.82 / $49.06 / $339.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $2.13