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Utah rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,246.57 / $4,246.57 / $80,533.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,246.57 / $4,246.57 / $4,246.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,152.88 / $4,929.39 / $5,392.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,584.24 / $7,169.88 / $9,996.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,477.79 / $3,660.83 / $3,660.83