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Idaho rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $53.87 / $54.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $54.51 / $77.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $8.84 / $8.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $47.01 / $78.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $42.84 / $53.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.82 / $52.82 / $57.89