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Utah rates for HCPCS J9280

Injection Mitomycin 5 Mg (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.60 / $23.60 / $32.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.55 / $25.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.54 / $61.21 / $70.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.36 / $28.27 / $131.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.06 / $109.40 / $157.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $27.59 / $29.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35