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Idaho rates for HCPCS J2358

Injection, olanzapine, long-acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.21 / $3.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.92 / $2.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $3.87 / $5.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.65 / $3.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $4.38 / $7.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $3.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $4.29