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Utah rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $21.39 / $21.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $21.39 / $21.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.01 / $26.05 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $18.44 / $18.44