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Utah rates for HCPCS J9293

Mitoxantrone Hydrochl / 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.70 / $27.70 / $27.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $24.12 / $75.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.53 / $71.15 / $92.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $31.04 / $51.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.23 / $108.98 / $159.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.27 / $32.36 / $34.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88