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Idaho rates for HCPCS J2355

Injection, oprelvekin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.91 / $528.91 / $528.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.14 / $449.58 / $528.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.92 / $426.92 / $426.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.92 / $426.92 / $426.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.98 / $454.87 / $650.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.94 / $286.37 / $286.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.50 / $376.16 / $576.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.91 / $528.91 / $588.79