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Idaho rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.52 / $519.52 / $597.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $559.86 / $636.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $508.96 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.86 / $674.37 / $909.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $636.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.37 / $748.49 / $1,250.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.76 / $610.76 / $636.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $539.89