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Utah rates for HCPCS J9301

Obinutuzumab Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.64 / $91.64 / $12,596.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.79 / $167.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.53 / $102.86 / $113.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $79.00 / $101.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.12 / $154.22 / $215.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $107.07 / $112.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00