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Utah rates for HCPCS J9268

Injection, pentostatin, 10 mg

Facilitymedian $3,388 · 10th–90th $2,951–$6,4570%20%40%10th90th$3,388Professionalmedian $2,570 · 10th–90th $2,512–$3,1620%50%10th90th$2,570$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $2,951.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,570.40 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,801.89 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,630.27 / $3,388.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,128.61 / $7,413.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $3,801.89
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,754.23 / $2,754.23
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,630.27 / $3,019.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,818.38