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Idaho rates for HCPCS J1555

Injection Immune Globulin (Cuvitru) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $17.59 / $20.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $18.53 / $21.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $16.84 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.53 / $22.31 / $30.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $21.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.68 / $16.68 / $16.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $25.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $20.21 / $20.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $18.86