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Idaho rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $95.50 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $93.33 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $97.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $97.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $173.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $97.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62