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Utah rates for HCPCS J9201

Injection Gemcitabine Hydrochloride Not Otherwise Specified 200 Mg (Desc Rvsd 1/1/20)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $273.70 / $365.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.47 / $89.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $4.25 / $5.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $3.72 / $8.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $4.25 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13