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Utah rates for HCPCS J0791

Injection Crizanlizumab-Tmca 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.19 / $150.19 / $150.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.19 / $150.19 / $150.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.54 / $184.84 / $195.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $129.47 / $341.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47