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Utah rates for HCPCS J0257

Glassia Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.54 / $6.54 / $6.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $6.54 / $6.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.45 / $7.78 / $8.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $5.64 / $14.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.64 / $5.64