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Utah rates for HCPCS J9071

Injection, cyclophosphamide (AuroMedics), 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.64 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.06 / $2.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.69 / $6.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.86 / $0.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63