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Utah rates for HCPCS J9039

Injection, blinatumomab, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $165.96 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $218.78 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $213.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $263.03 / $537.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $239.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $169.82 / $169.82
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $165.96 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18