go back

Idaho rates for HCPCS J9293

Mitoxantrone Hydrochl / 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $29.60 / $34.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.87 / $24.59 / $35.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $22.53 / $23.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.26 / $33.61 / $334.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $25.31 / $29.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $42.92 / $54.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.81 / $74.40 / $137.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.65 / $28.65 / $29.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $26.58