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Idaho rates for HCPCS J1460

Injection Gamma Globulin Intramuscular 1 Cc (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.42 / $48.42 / $55.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.42 / $53.94 / $61.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.26 / $49.03 / $49.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $49.03 / $49.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $61.29 / $87.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $49.03 / $61.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.32 / $75.11 / $126.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.84 / $58.84 / $61.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.03 / $49.03 / $49.03