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Idaho rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.90 / $30.31 / $182.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $23.91 / $50.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $20.30 / $21.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.90 / $29.60 / $170.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.82 / $27.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $18.92 / $37.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.83 / $25.83 / $26.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $22.82