go back

Utah rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.21 / $51,960.27 / $51,961.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $95.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.52 / $106.58 / $116.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $80.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.34 / $109.01 / $131.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.29 / $111.25 / $117.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $82.08