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Utah rates for HCPCS J3246

Injection, tirofiban HCl, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $275.42 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $5.13 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $6.76 / $7.41
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.31 / $19.50
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.47 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47