go back

Utah rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.16 / $888.87 / $2,351.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.88 / $975.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $6.12 / $6.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $5.05 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $8.63 / $12.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $6.03 / $6.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45