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Idaho rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.43 / $494.43 / $568.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.43 / $545.10 / $619.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $495.55 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.10 / $656.60 / $885.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $619.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.40 / $484.40 / $484.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.55 / $495.55 / $725.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.98 / $594.65 / $594.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55