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Idaho rates for HCPCS J1335

Injection, ertapenem sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $139.38 / $760.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $10.91 / $24.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $9.86 / $9.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.85 / $17.63 / $375.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $12.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.83 / $11.83 / $12.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $15.78