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Idaho rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.35 / $1.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.62 / $2.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.54 / $1.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.65 / $2.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23