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Utah rates for HCPCS J9019

Erwinaze Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.47 / $401.47 / $401.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $401.47 / $483.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $512.04 / $559.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.09 / $874.19 / $1,602.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $403.08 / $403.08