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Utah rates for HCPCS J9302

Injection, ofatumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.09 / $60.09 / $60.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $60.09 / $72.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $65.95 / $81.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.60 / $129.19 / $185.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $60.34 / $60.34