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Utah rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.46 / $48.46 / $48.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.46 / $48.46 / $48.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.22 / $48.65 / $48.65