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Idaho rates for HCPCS J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.23 / $2,979.78 / $6,369.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,351.23 / $2,979.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.53 / $2,116.32 / $2,116.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.54 / $2,645.40 / $3,782.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,645.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,065.84 / $3,098.76 / $5,203.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.59 / $2,539.59 / $2,645.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,182.21