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Utah rates for HCPCS J0565

Injection, bezlotoxumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.20 / $46.20 / $6,379.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $46.20 / $46.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.64 / $56.90 / $60.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.58 / $80.56 / $115.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83