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Idaho rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $3.82 / $4.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.79 / $64.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $4.74 / $10.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.80 / $4.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $6.98 / $8.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.66