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Utah rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.82 / $454.82 / $456.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.93 / $476.36 / $682.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.08 / $522.04 / $600.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $401.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.11 / $798.38 / $1,146.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.30 / $431.30 / $470.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.49 / $392.09 / $392.09