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Utah rates for HCPCS J9245

Injection, melphalan HCl, not otherwise specified, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $87.10 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $204.17 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $93.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $95.50 / $128.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $407.38 / $575.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $125.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $125.89 / $776.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $95.50 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $91.20