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Utah rates for HCPCS J9261

Injection Nelarabine 50 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.64 / $2,859.40 / $3,513.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $99.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.44 / $98.73 / $150.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $79.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $79.22 / $193.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.78 / $157.63 / $266.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.85 / $108.24 / $113.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $79.86