go back

Idaho rates for HCPCS J9039

Injection Blinatumomab 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.21 / $163.21 / $187.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.21 / $169.18 / $205.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.96 / $154.96 / $164.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $164.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.21 / $205.32 / $262.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $174.11 / $205.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $137.26 / $296.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.96 / $224.25 / $379.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.10 / $197.10 / $205.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $174.11