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Utah rates for HCPCS J1559

Injection Immune Globulin (Hizentra) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.38 / $16.63 / $16.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $16.63 / $16.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.96 / $18.93 / $20.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $14.34 / $34.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.62 / $14.34 / $16.05