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Idaho rates for HCPCS J1438

Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.91 / $1,040.08 / $1,052.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.96 / $1,052.33 / $1,504.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.91 / $194.07 / $194.07
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
$790.78 / $1,186.17 / $2,016.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,300.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.70 / $1,019.70 / $1,019.70