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Utah rates for HCPCS J1557

Gammaplex Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.87 / $73.87 / $114.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.87 / $73.87 / $73.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.40 / $80.65 / $86.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.68 / $63.68 / $160.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $71.31