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Idaho rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $168.13 / $297.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $181.05 / $205.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.27 / $164.59 / $164.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.05 / $218.08 / $294.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $205.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $168.22 / $256.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.67 / $197.51 / $197.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59