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Utah rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $23,442.29 / $23,442.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,387.21 / $23,442.29 / $27,542.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,988.33 / $23,988.33 / $23,988.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $23,442.29 / $30,199.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,481.34 / $44,668.36 / $85,113.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,988.33 / $23,988.33 / $31,622.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,908.68 / $25,118.86 / $27,542.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,174.90 / $20,417.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,442.29 / $23,442.29 / $23,442.29