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Utah rates for HCPCS J1930

Somatuline Depot SC SOLN 120 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.49 / $42.52 / $28,343.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.49 / $39.49 / $39.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.63 / $59.42 / $70.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.55 / $117.07 / $145.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $34.04 / $34.04