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Utah rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,412.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $776.25 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $2,041.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $575.44 / $676.08
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $562.34 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34