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Utah rates for HCPCS J9153

Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.06 / $297.06 / $297.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $258.64 / $320.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.58 / $338.91 / $377.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $256.08 / $336.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.75 / $488.05 / $700.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.70 / $347.11 / $365.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08