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Utah rates for HCPCS J0490

Belimumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.04 / $65.04 / $112.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.04 / $65.04 / $65.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $76.03 / $83.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.07 / $56.07 / $137.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $56.07 / $56.07