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Idaho rates for HCPCS J9050

Injection, carmustine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.64 / $173.64 / $199.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.64 / $238.46 / $298.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.96 / $224.96 / $238.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $238.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.60 / $262.30 / $900.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $252.76 / $298.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.32 / $229.79 / $283.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.00 / $616.44 / $2,585.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.14 / $286.14 / $298.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.46 / $238.46 / $333.84