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Utah rates for HCPCS J1640

Panhematin IV SOLR 350 MG

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.63 / $39.65 / $39.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.65 / $39.65 / $39.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.75 / $45.83 / $50.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.90 / $64.88 / $93.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.47 / $34.18 / $34.18