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Idaho rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.47 / $35.47 / $35.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $30.16 / $35.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.96 / $30.51 / $43.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08