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Idaho rates for HCPCS J9118

Injection Calaspargase Pegol-Mknl 10 Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $81.91 / $94.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $84.54 / $102.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.43 / $77.43 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $102.59 / $131.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.72 / $90.29 / $102.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $118.62 / $149.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.29 / $114.35 / $167.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.49 / $98.49 / $102.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $87.00