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Utah rates for HCPCS J2840

Injection Sebelipase Alfa 1 Mg (Reinstated 01/01/2017). Savacort-50 Up To 50 Mg (Del 03/31/2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.46 / $508.46 / $508.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.46 / $508.46 / $508.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.60 / $612.60 / $612.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $1,452.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.98 / $510.50 / $510.50