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Utah rates for HCPCS J9295

Injection, necitumumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $6.65 / $6.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.79 / $7.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $8.19 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $7.16 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $11.59 / $16.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $7.77 / $8.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73