go back

Utah rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.20 / $74.20 / $74.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.20 / $74.20 / $74.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.83 / $143.56 / $206.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $74.50