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Idaho rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.55 / $558.55 / $642.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $614.29 / $698.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $558.46 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.29 / $739.95 / $998.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $698.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.57 / $542.57 / $542.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $817.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.41 / $670.15 / $670.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $781.84