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Idaho rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.50 / $23,789.50 / $23,789.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $23,229.71 / $24,069.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,713.30 / $24,069.34 / $30,450.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,940.01 / $2,940.01 / $2,985.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,693.02 / $34,859.53 / $58,792.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $29,736.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $24,722.38