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Utah rates for HCPCS J0594

Injection, busulfan, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.07 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.04 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.89 / $48.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.72 / $5.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $0.98 / $1.29
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.71 / $5.75
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.87 / $1.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.93