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Utah rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.70 / $446.42 / $446.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.42 / $446.42 / $446.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.51 / $497.35 / $571.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.01 / $740.67 / $1,063.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.61 / $384.85 / $428.42