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Utah rates for HCPCS J1447

Injection, tbo-filgrastim, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.52 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.85 / $1.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.26 / $0.72
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.28 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.28