go back

Idaho rates for HCPCS J9306

Perjeta IV SOLN 420 MG/14ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $18,845.04 / $29,274.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $21.27 / $20,802.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $16.05 / $17.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $17.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $21.27 / $27.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $18.04 / $21.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $25.16 / $31.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $21.53 / $39.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.72 / $20.42 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $27.23