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Idaho rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.53 / $84.53 / $97.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.53 / $87.11 / $105.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.78 / $79.78 / $84.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $84.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.53 / $105.72 / $135.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $89.65 / $105.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.33 / $205.85 / $229.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.37 / $166.80 / $284.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.49 / $101.49 / $105.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $89.64