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Idaho rates for HCPCS J9261

Injection, nelarabine, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $63.38 / $72.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.38 / $79.86 / $99.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.34 / $75.34 / $79.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $79.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $102.15 / $158.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $84.65 / $101.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.19 / $97.93 / $123.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.65 / $140.26 / $295.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.83 / $95.83 / $99.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $88.90