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Utah rates for HCPCS Q2050

Injection, doxorubicin HCl, liposomal, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.82 / $125.82 / $729.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.47 / $109.55 / $135.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.15 / $179.69 / $214.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.47 / $108.47 / $108.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.49 / $136.60 / $553.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.56 / $271.10 / $395.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.32 / $147.03 / $154.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.47 / $108.47 / $108.47