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Utah rates for HCPCS J2323

Tysabri IV CONC 300 MG/15ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.84 / $27.84 / $51.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.84 / $27.84 / $27.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.94 / $34.78 / $36.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.15 / $50.07 / $69.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $24.00 / $24.00