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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
$189.75 / $189.75 / $218.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.75 / $213.13 / $242.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.79 / $193.76 / $193.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.13 / $256.73 / $346.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $242.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.79 / $273.99 / $457.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.51 / $232.51 / $242.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $271.26