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Utah rates for HCPCS 80197

Tacrolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $91.20 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $12.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $15.85 / $26.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $50.12 / $72.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.75 / $12.30
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $13.80 / $43.65
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $13.80 / $26.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.13 / $19.05