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Utah rates for HCPCS J9340

Thiotepa 15 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.66 / $264.66 / $317.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $306.31 / $1,887.44