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Idaho rates for HCPCS J2440

Injection Papaverine Hcl Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $38.25 / $38.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $38.25 / $38.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $38.70 / $55.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $2.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.24 / $42.24 / $52.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $37.50