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Utah rates for HCPCS J1830

Injection interferon beta-1b, 0.25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $707.95 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $724.44 / $794.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $812.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $741.31