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Idaho rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $61.66 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $79.43 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $67.61 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $61.66 / $70.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $61.66 / $70.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $79.43 / $131.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $70.79
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23