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Utah rates for HCPCS 90371

Hepatitis B immune globulin (HBIg), human, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $204.17 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $281.84 / $512.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $144.54 / $363.08
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $134.90 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $162.18 / $165.96