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Idaho rates for HCPCS J0223

Injection, givosiran, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $131.83 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $138.04 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $138.04 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $151.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $125.89 / $151.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $125.89 / $269.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $144.54 / $144.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23