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Utah rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.60 / $430.60 / $430.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $430.60 / $446.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $411.55 / $506.52