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Idaho rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.52 / $258.52 / $297.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.63 / $266.39 / $323.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $244.00 / $258.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.72 / $293.04 / $413.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $274.16 / $323.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.42 / $224.04 / $485.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.58 / $323.45 / $577.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.50 / $310.37 / $310.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $274.16