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Utah rates for HCPCS J9228

Ipilimumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.84 / $212.84 / $90,447.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $185.31 / $231.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.96 / $237.80 / $273.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $183.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.38 / $183.48 / $238.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.38 / $367.70 / $512.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.83 / $248.69 / $261.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $183.48