go back

Idaho rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $147.91 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $44.67 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $2.29 / $4.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.13 / $1.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.14 / $70.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $1.82 / $77.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.11 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $1.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.12