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Utah rates for HCPCS J9055

Erbitux IV SOLN 100 MG/50ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.91 / $90.91 / $14,618.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $79.15 / $97.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.19 / $107.80 / $117.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $78.37 / $78.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $78.47 / $102.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.52 / $157.31 / $219.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.21 / $106.23 / $111.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $78.37 / $78.37