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Utah rates for HCPCS J0725

Injection, chorionic gonadotropin, per 1,000 USP units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $26.30 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $15.85 / $15.85
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49