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Idaho rates for HCPCS J1960

Injection, levorphanol tartrate, up to 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.38 / $0.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.41 / $3.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $4.83