go back

Idaho rates for HCPCS J0202

Lemtrada IV SOLN 12 MG/1.2ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.69 / $2,440.69 / $2,806.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,502.79 / $3,037.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,292.35 / $2,292.35 / $2,429.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.69 / $3,037.36 / $3,887.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,575.67 / $3,037.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.12 / $2,172.02 / $4,760.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $3,170.93 / $5,872.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,672.88 / $2,915.87 / $2,915.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,575.67