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Idaho rates for HCPCS J9153

Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.09 / $255.09 / $293.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.09 / $263.77 / $320.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.59 / $241.59 / $256.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.09 / $320.11 / $409.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $271.45 / $320.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.30 / $223.57 / $485.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.95 / $352.21 / $604.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.30 / $307.30 / $320.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $271.45