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Idaho rates for HCPCS J1930

Somatuline Depot SC SOLN 120 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.65 / $36.65 / $28,343.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $37.11 / $44.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.11 / $32.11 / $34.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.45 / $45.11 / $60.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $42.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $39.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.97 / $75.05 / $132.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $40.86 / $40.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $53.10