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Idaho rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.51 / $505.51 / $581.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.51 / $559.63 / $635.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $508.76 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.63 / $674.11 / $909.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $635.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.45 / $594.59 / $1,189.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.54 / $610.51 / $610.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $551.41