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Utah rates for HCPCS J0280

Aminophyllin 250 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $19.82 / $58.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $7.86 / $15.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $10.34 / $10.34