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Utah rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.16 / $590.16 / $982.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.16 / $590.16 / $590.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.92 / $640.46 / $736.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.59 / $960.85 / $1,379.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.51 / $508.76 / $508.76