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Idaho rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $310.61 / $314.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.53 / $314.26 / $449.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.19 / $367.43 / $367.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.45 / $346.17 / $588.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.76 / $95.76 / $119.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $298.30