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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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $11.75 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.94 / $11.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $16.60 / $25.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.91 / $10.47
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.59