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Idaho rates for HCPCS J1100

Injection, dexamethasone sodium phosphate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $9.46 / $76.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.69 / $3.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $1.88 / $7.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.11 / $0.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.14