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Utah rates for HCPCS J2469

Injection, palonosetron HCl, 25 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $54.95 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $13.18 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.71 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.36 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.68 / $10.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.36 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.37