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Utah rates for HCPCS J0637

Injection Caspofungin Acetate 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $4.11 / $4.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $4.11 / $4.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $6.68 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.54 / $3.54