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Utah rates for HCPCS J0890

Injection, peginesatide, 0.1 mg (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.77 / $10.77 / $10.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $10.77 / $11.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $8.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.35 / $14.59 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $12.97 / $12.97