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Utah rates for HCPCS J0702

Injection Betamethasone Acetate And Betamethasone Sodium Phosphate Per 3 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $95.05 / $238.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $13.70 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.77 / $9.91 / $11.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96