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Idaho rates for HCPCS J0791

Injection, crizanlizumab-tmca, 5 mg

Facilitymedian $148 · 10th–90th $129–$2140%20%10th90th$148Professionalmedian $135 · 10th–90th $129–$1620%50%10th90th$135$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $134.90 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $147.91 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $147.91 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $147.91 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $162.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $257.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $154.88 / $154.88
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82