go back

Idaho rates for HCPCS J9155

Injection, degarelix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.47 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $6.46 / $12.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $6.17 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.47 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.90 / $7.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.68 / $5.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.72 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $6.46 / $10.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.37 / $5.37
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.68