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Idaho rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $23.50 / $38.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.73 / $26.21 / $31.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $23.78 / $25.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $34.65 / $59.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.72 / $31.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.18 / $30.00 / $48.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.09 / $34.09 / $41.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $30.24 / $31.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $26.71