go back

Idaho rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.39 / $79.39 / $91.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $87.18 / $99.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $79.26 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.18 / $105.01 / $141.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $99.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.16 / $79.26 / $148.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.11 / $95.11 / $99.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26