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Idaho rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $14.13 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88