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Utah rates for HCPCS J9400

Injection, ziv-aflibercept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $9.14 / $9.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.96 / $9.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $10.65 / $12.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $7.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $9.96 / $11.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.49 / $15.05 / $20.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $10.68 / $11.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $7.88