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Utah rates for HCPCS C9047

Injection, caplacizumab-yhdp, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $776.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $2,818.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $870.96