go back

Idaho rates for HCPCS J9301

Injection, obinutuzumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.45 / $20,526.88 / $23,796.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $82.19 / $108.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.52 / $74.52 / $79.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.45 / $98.75 / $126.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $83.74 / $98.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.81 / $67.34 / $146.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.86 / $100.10 / $183.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $94.80 / $94.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00