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Idaho rates for HCPCS J1602

Injection Golimumab 1 Mg For Intravenous Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $12.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $12.14 / $3,555.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $11.04 / $11.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.14 / $14.63 / $19.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $13.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $10.77 / $10.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.04 / $11.04 / $19.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.18 / $13.25 / $13.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $17.66