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Utah rates for HCPCS J9303

Vectibix IV SOLN 100 MG/5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.71 / $200.71 / $200.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.03 / $174.75 / $216.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.85 / $220.30 / $251.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.03 / $173.03 / $173.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.78 / $173.03 / $222.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.08 / $330.08 / $460.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.33 / $234.53 / $246.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.03 / $173.03 / $173.03