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Utah rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.54 / $19.54 / $34.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.54 / $19.54 / $19.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.43 / $23.28 / $25.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $43.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.84 / $18.86