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Idaho rates for HCPCS J2910

Injection Aurothioglucose Up To 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.40 / $29.40 / $29.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.52 / $24.99 / $29.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.50 / $24.50 / $24.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $24.50 / $24.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.86 / $25.28 / $36.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.40 / $29.40 / $29.40