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Utah rates for HCPCS J9308

Injection, ramucirumab, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $11,220.18 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $104.71 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $77.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $75.86 / $97.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $125.89 / $257.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $87.10 / $104.71
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $77.62 / $77.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $74.13 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86