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Idaho rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.98 / $419.98 / $419.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.09 / $430.60 / $446.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.04 / $446.17 / $571.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.44 / $283.44 / $347.85