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Idaho rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $18.84 / $21.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $22.80 / $26.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $20.99 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.09 / $27.81 / $37.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $26.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $21.08 / $32.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $25.19 / $25.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99