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Idaho rates for HCPCS J9348

Injection Naxitamab-Gqgk 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.91 / $685.91 / $788.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.91 / $706.58 / $857.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.16 / $647.16 / $686.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $686.00 / $686.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.91 / $857.50 / $1,097.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $754.60 / $857.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $641.83 / $1,251.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.62 / $898.46 / $1,522.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.20 / $823.20 / $857.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $686.00 / $727.16