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Utah rates for HCPCS J9274

Injection, tebentafusp-tebn, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.82 / $251.82 / $251.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $251.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.22 / $305.51 / $326.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $217.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $246.97 / $289.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.11 / $433.41 / $622.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.80 / $294.25 / $309.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $217.09