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Idaho rates for HCPCS J0178

Injection, aflibercept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $7,413.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $891.25 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $891.25 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $831.76 / $954.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $831.76 / $1,819.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $2,290.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $912.01 / $912.01
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,071.52