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Idaho rates for HCPCS J9246

Injection Melphalan (Evomela) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $17.37 / $28.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $20.35 / $23.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.45 / $17.45 / $18.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $24.51 / $33.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $21.28 / $23.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $25.48 / $42.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.20 / $22.20 / $23.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $20.59