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Utah rates for HCPCS J1640

Injection, hemin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $46.77 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $58.88 / $117.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $36.31 / $36.31
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $33.88 / $42.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48