go back

Idaho rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $43.02 / $87.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.92 / $2.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $2.31 / $3.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75