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Utah rates for HCPCS J9320

Injection, streptozocin, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,288.25 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $371.54 / $478.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $707.95 / $1,380.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $478.63
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $380.19 / $436.52
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $323.59 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25