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Utah rates for HCPCS J0300

Injection, amobarbital, up to 125 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $181.97 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $257.04 / $645.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $239.88
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $6.31 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97