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Utah rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $812.83 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $977.24 / $1,995.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $602.56 / $616.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $575.44 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44