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Utah rates for HCPCS J9357

Injection, valrubicin, intravesical, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,318.26 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,041.74 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,318.26 / $1,737.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,951.21 / $5,248.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,905.46
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,318.26 / $1,479.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,318.26 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26