go back

Utah rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.54 / $574.83 / $574.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.83 / $574.83 / $574.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.66 / $691.41 / $735.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.55 / $495.55 / $1,275.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.77 / $495.55 / $495.55