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Utah rates for HCPCS J0131

Injection Acetaminophen Not Otherwise Specified 10mg (Desc Rvsd 1/1/23)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.33 / $56.73 / $132.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06