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Utah rates for HCPCS J9025

azaCITIDine IJ SUSR 100 MG

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $71.48 / $231.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $2.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.43 / $0.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.41 / $3.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.37 / $2.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.77 / $0.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56