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Utah rates for HCPCS J2783

Injection, rasburicase, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $4,570.88 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $524.81 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $676.08 / $1,348.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $398.11 / $398.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $426.58