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Idaho rates for HCPCS J2180

Injection, meperidine and promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $9.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $4.79 / $9.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $8.13 / $11.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $7.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.18 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $5.37