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Utah rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $24.35 / $24.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $24.35 / $24.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.36 / $28.88 / $32.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $57.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99