go back

Utah rates for HCPCS J9215

Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $30.00 / $31.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.90 / $24.28 / $31.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00