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Idaho rates for HCPCS J0878

Daptomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $77.84 / $605.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $1.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.05