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Utah rates for HCPCS J0594

Busulfan IV SOLN 6 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.89 / $2.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $2.06 / $2.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.84 / $53.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $2.06 / $3.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.19 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88