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Idaho rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $11.39 / $13.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $13.78 / $16.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $13.06 / $13.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $17.30 / $53.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $16.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $15.67 / $16.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $19.30