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Idaho rates for HCPCS J1571

Hepagam B Im Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $71.66 / $82.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $73.31 / $86.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $66.64 / $66.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.31 / $88.30 / $119.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $83.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.92 / $94.17 / $172.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.97 / $79.97 / $83.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $91.85