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Utah rates for HCPCS J1744

Injection, icatibant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.00 / $178.87 / $298.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $47.60 / $47.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.26 / $333.47 / $449.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $46.67 / $46.67