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Utah rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $77.62 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $93.33 / $190.55
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $58.88 / $58.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $56.23 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54