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Utah rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.94 / $91.94 / $92.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.94 / $91.94 / $91.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.23 / $109.12 / $117.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $79.26 / $200.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $79.26 / $79.26