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Idaho rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $6.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $6.01 / $6.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $7.24 / $9.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.54 / $7.92 / $13.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $6.56 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.08