go back

Utah rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $84.10 / $110.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $10.77 / $16.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $11.14 / $34.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $14.46 / $18.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.67 / $14.57 / $57.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $10.31 / $14.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $7.25 / $7.60