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Utah rates for HCPCS J0896

Injection, luspatercept-aamt, 0.25 mg

Facilitymedian $49 · 10th–90th $43–$660%20%40%10th90th$49Professionalmedian $43 · 10th–90th $42–$490%20%40%10th90th$43$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $46.77 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $83.18
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $42.66 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66