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Idaho rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $41.70 / $19,514.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $39.90 / $49.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $45.35 / $58.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.09 / $43.54 / $45.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.07 / $31.89 / $69.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.64 / $51.63 / $87.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.53 / $43.53 / $45.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $38.46