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Idaho rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $393.87 / $393.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $427.38 / $490.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $392.09 / $494.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $450.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $411.69 / $519.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $490.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.53 / $291.70 / $394.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.00 / $592.86 / $1,007.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $395.24 / $490.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $392.09