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Idaho rates for HCPCS J9201

Injection Gemcitabine Hydrochloride Not Otherwise Specified 200 Mg (Desc Rvsd 1/1/20)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $8.83 / $324.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.58 / $143.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $2.95 / $3.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $4.40 / $139.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.44 / $3.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $4.62 / $5.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $3.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $4.38