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Idaho rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $65.26 / $75.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $68.66 / $82.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $62.26 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $82.50 / $105.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $69.95 / $82.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.45 / $57.79 / $114.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.16 / $85.56 / $158.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.59 / $79.20 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $69.95