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Utah rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.80 / $647.80 / $1,339.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.80 / $647.80 / $647.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.15 / $716.14 / $823.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $1,465.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46