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Utah rates for HCPCS J9130

Dacarbazine 100 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $78.62 / $327.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.47 / $4.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $5.52 / $6.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $4.58 / $6.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.68 / $4.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45