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Idaho rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.43 / $50.43 / $8,302.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $55.81 / $63.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $50.74 / $50.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.81 / $67.23 / $90.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $63.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $50.74 / $73.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.01 / $60.88 / $60.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $65.73