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Utah rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.74 / $345.74 / $345.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.74 / $345.74 / $345.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.25 / $227.53 / $227.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.66 / $357.54 / $357.54