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Idaho rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.01 / $56.01 / $5,981.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $61.67 / $70.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.89 / $56.07 / $56.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.67 / $74.30 / $100.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $70.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.07 / $56.07 / $101.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.88 / $67.28 / $67.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $89.71