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Idaho rates for HCPCS J3280

Injection Thiethylperazine Maleate Up To 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.42 / $7.42 / $7.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $6.31 / $7.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $6.38 / $9.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $4.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.99 / $7.11 / $10.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $7.62