go back

Idaho rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $457.09 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $416.87 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $501.19 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $524.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $416.87 / $524.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $602.56 / $1,023.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $524.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $257.04 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87