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Utah rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $114.82 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $128.82 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $120.23