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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
$120.23 / $758.58 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $208.93 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $107.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $109.65 / $147.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $245.47 / $467.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $114.82 / $151.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $371.54
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $109.65 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $109.65