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Idaho rates for HCPCS J2426

Injection, paliperidone palmitate extended release (Invega Sustenna), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.08 / $15.08 / $17.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.08 / $16.62 / $18.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.26 / $15.11 / $15.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $15.11 / $15.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $20.02 / $27.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $15.11 / $18.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $14.74 / $14.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.66 / $21.99 / $36.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.13 / $18.13 / $18.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $15.11 / $15.11