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Utah rates for HCPCS J9211

Idarubicin Hydrochloride 5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.54 / $42.54 / $42.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $37.04 / $45.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.75 / $62.09 / $71.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $36.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $43.51 / $56.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.34 / $49.70 / $52.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $36.67