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Idaho rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $57.19 / $244.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.24 / $55.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.85 / $8.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $5.23