go back

Utah rates for HCPCS J9317

Injection Sacituzumab Govitecan-Hziy 2.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.08 / $42.08 / $42.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $37.36 / $45.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.45 / $46.80 / $53.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $44.75 / $48.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.88 / $70.56 / $101.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $49.17 / $51.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28