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Utah rates for HCPCS J9027

Injection, clofarabine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $12.88 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $12.88 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $91.20 / $117.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $20.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $11.22 / $77.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.17 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45