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Utah rates for HCPCS J0735

Injection, clonidine HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $66.07 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $22.91 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $18.62 / $18.62
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $18.20 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38