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Utah rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.02 / $28,904.87 / $89,856.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $261.23 / $323.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $337.22 / $378.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $258.64 / $336.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.15 / $498.37 / $694.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.50 / $350.57 / $369.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64