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Idaho rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

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
$1.14 / $1.51 / $1.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.83 / $2.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.86 / $1.86
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
$2.00 / $2.04 / $3.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $3.22