go back

Utah rates for HCPCS J7178

Injection Human Fibrinogen Concentrate Not Otherwise Specified 1 Mg (Desc Rvsd 1/1/19)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.02 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.91 / $4.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.52 / $1.52