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Idaho rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.51 / $436.51 / $501.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $475.22 / $540.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.57 / $432.02 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.25 / $540.03 / $772.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $540.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.33 / $599.00 / $1,018.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.42 / $518.42 / $540.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02