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Idaho rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,638.86 / $3,638.86 / $4,184.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $4,026.92 / $4,576.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,453.62 / $3,660.83 / $3,660.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,026.92 / $4,850.60 / $6,543.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $4,576.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,595.30 / $4,902.68 / $8,497.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,040.74 / $4,393.00 / $4,393.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83