go back

Idaho rates for HCPCS J9302

Injection Ofatumumab 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $61.54 / $63.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.92 / $63.96 / $79.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.15 / $62.15 / $209.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,500.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.11 / $95.94 / $163.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $60.34 / $84.48