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Utah rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.88 / $358.07 / $358.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.07 / $358.07 / $358.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.47 / $388.21 / $446.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.43 / $600.16 / $836.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.25 / $308.68 / $308.68