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Utah rates for HCPCS J9065

Injection, cladribine, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $12.39 / $12.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $11.00 / $51.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $14.88 / $23.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.73 / $12.45 / $30.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.51 / $28.55 / $44.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $14.48 / $15.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68