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Utah rates for HCPCS 80235

Lacosamide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $131.83 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.89 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $23.99 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $38.02 / $41.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $81.28 / $128.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $22.91 / $24.55
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $85.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $23.99 / $40.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $21.88