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Utah rates for HCPCS J9269

Injection Tagraxofusp-Erzs 10 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.04 / $414.04 / $414.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $360.50 / $446.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.44 / $476.05 / $514.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $356.93 / $356.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.53 / $440.08 / $464.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.18 / $659.59 / $946.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.62 / $483.79 / $509.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $356.93 / $356.93