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Utah rates for HCPCS J9039

Injection Blinatumomab 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.53 / $190.53 / $190.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $165.90 / $205.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.40 / $212.86 / $231.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $164.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.24 / $164.25 / $208.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.86 / $306.95 / $440.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.68 / $222.63 / $234.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $164.25