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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
$23,229.71 / $23,229.71 / $23,229.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $23,229.71 / $24,069.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $25,194.81 / $29,853.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,402.92 / $47,504.66 / $68,199.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $29,313.37 / $30,854.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $23,323.00