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Utah rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $104.71 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $44.67 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.12 / $2.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.17
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $2.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $2.14 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11