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Utah rates for HCPCS J1305

Injection, evinacumab-dgnb, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $263.03 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $346.74 / $660.69
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $204.17 / $204.17
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $194.98 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98