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Utah rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.27 / $53.27 / $53.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $53.27 / $53.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.32 / $120.82 / $173.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $56.42 / $56.42