go back

Utah rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.42 / $1.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.57 / $1.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $2.22 / $3.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.23 / $1.23