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Idaho rates for HCPCS J1305

Injection, evinacumab-dgnb, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $213.80 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $275.42 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $234.42 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $245.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $213.80 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $275.42 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $245.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98