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Idaho rates for HCPCS J1628

Injection, guselkumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.86 / $74.86 / $86.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $83.57 / $94.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $75.97 / $75.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.57 / $100.67 / $135.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $83.57 / $94.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.98 / $113.69 / $197.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.17 / $91.17 / $94.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97