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Utah rates for HCPCS J0692

Injection, cefepime HCl, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $56.23 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.70 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.32 / $2.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87