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Utah rates for HCPCS J0132

Injection, acetylcysteine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $467.74 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.81 / $1.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.52 / $1.32
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.39 / $0.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37