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Utah rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.24 / $41.24 / $41.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.24 / $41.24 / $41.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.61 / $44.90 / $51.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.27 / $68.66 / $98.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54