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Utah rates for HCPCS J7180

Injection, Factor XIII (antihemophilic factor, human), 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $14.79 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $16.60 / $19.05
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $11.22 / $11.22
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $10.72 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72