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Utah rates for HCPCS J0735

Injection Clonidine Hydrochloride 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $47.12 / $326.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.07 / $21.07 / $21.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $23.12 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.26 / $18.17 / $18.17