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Utah rates for HCPCS Q0510

Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $54.95 / $83.18