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Idaho rates for HCPCS Q0510

Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.67 / $52.67 / $52.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $52.67 / $52.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $29.52 / $29.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $52.67 / $88.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $87.50 / $3,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.65 / $66.09 / $92.54