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Idaho rates for HCPCS J1559

Injection Immune Globulin (Hizentra) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $14.12 / $16.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $15.77 / $17.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $14.34 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.77 / $19.00 / $25.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $17.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $14.34 / $19.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.83 / $17.20 / $17.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $16.05