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Utah rates for HCPCS J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.61 / $251.61 / $251.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $251.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.00 / $280.14 / $322.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $216.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.01 / $416.95 / $598.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.59 / $293.99 / $309.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $216.90