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Utah rates for HCPCS J3396

Injection Verteporfin 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.38 / $13.38 / $13.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $13.38 / $13.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $16.45 / $17.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.43 / $23.27 / $33.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $11.54 / $11.54