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Idaho rates for HCPCS J3310

Perphenazine Injeciton

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.38 / $7.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $6.85 / $9.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $10.51