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Utah rates for HCPCS J9030

BCG live intravesical instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $89.13 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $4.47 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.31 / $4.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $4.79
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.55 / $3.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.24 / $3.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31