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Utah rates for HCPCS J0712

Injection, ceftaroline fosamil, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $5.75 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $7.59 / $14.45
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.37 / $4.37
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.27 / $5.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27