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Utah rates for HCPCS J9020

Injection Asparaginase Not Otherwise Specified 10 000 Units (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.66 / $60.66 / $60.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.73 / $58.20 / $60.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.67 / $64.56 / $84.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.44 / $61.80 / $82.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.84 / $75.20 / $96.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $73.09 / $73.09