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Idaho rates for HCPCS J3396

Injection, verteporfin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $11.55 / $13.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $12.69 / $14.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $11.54 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.69 / $15.29 / $20.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $14.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.10 / $17.28 / $29.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.85 / $13.85 / $14.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $16.16