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Idaho rates for HCPCS J7686

Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.15 / $800.15 / $800.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $875.70 / $995.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.03 / $796.09 / $796.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $867.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.15 / $835.90 / $1,054.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $995.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.97 / $760.40 / $760.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.30 / $946.30 / $946.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $995.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.44 / $796.09 / $796.09