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Idaho rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $75.98 / $76.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $81.48 / $109.94
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
$78.18 / $106.61 / $181.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $94.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $74.50