go back

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
$47.50 / $47.50 / $47.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $47.50 / $52.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $29.52 / $29.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.33 / $55.00 / $82.35