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Idaho rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $35.90 / $41.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $39.11 / $44.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.54 / $33.54 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.11 / $47.11 / $63.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $39.11 / $44.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.16 / $46.42 / $84.98
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $44.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54