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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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $6.61 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.72 / $8.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.55 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80