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Utah rates for HCPCS J9229

Injection, inotuzumab ozogamicin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,129.74 / $28,433.64 / $28,433.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,725.03 / $3,372.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,109.51 / $3,772.86 / $4,037.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $2,698.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $2,698.05 / $3,588.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,242.54 / $5,447.21 / $7,594.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,967.86 / $3,656.99 / $3,849.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $2,698.05