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Idaho rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.17 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.26 / $1.70
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
$1.22 / $1.50 / $2.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.14