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Idaho rates for HCPCS J9228

Ipilimumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.41 / $270.64 / $154,588.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.47 / $190.89 / $229.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.09 / $173.09 / $183.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $183.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.41 / $213.05 / $293.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $194.49 / $229.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $180.22 / $351.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.62 / $238.65 / $436.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.83 / $220.17 / $220.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $232.12