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Utah rates for HCPCS J1453

Injection Fosaprepitant 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.96 / $141.65 / $789.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.12 / $77.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.13 / $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 / $0.13 / $0.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10