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Idaho rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $81.70 / $93.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $87.53 / $98.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $78.79 / $78.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.67 / $104.40 / $140.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.81 / $86.68 / $98.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.01 / $81.01 / $81.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $78.80 / $119.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.97 / $94.55 / $94.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $88.26