go back

Utah rates for HCPCS J9229

Injection, inotuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $28,183.83 / $34,673.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,801.89 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,818.38 / $3,630.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $4,677.35 / $9,549.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,235.94 / $3,890.45
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,951.21 / $2,951.21
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,691.53 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38