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Idaho rates for HCPCS Q2049

Injection, doxorubicin HCl, liposomal, imported Lipodox, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.60 / $575.60 / $575.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.48 / $477.75 / $575.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.43 / $508.43 / $508.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.43 / $508.43 / $508.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.11 / $508.43 / $707.88
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
$430.56 / $587.13 / $998.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.60 / $575.60 / $610.14