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Utah rates for HCPCS Q2049

Injection Doxorubicin Hydrochloride Liposomal Imported Lipodox 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.75 / $477.75 / $477.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.48 / $477.75 / $495.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.43 / $508.43 / $508.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $591.63 / $646.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.47 / $790.67 / $1,135.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.60 / $575.60 / $575.60