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Utah rates for HCPCS J7181

Injection, Factor XIII A-subunit, (recombinant), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $24.55 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $28.84 / $33.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.05 / $19.50
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $18.20 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62