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Utah rates for HCPCS J0744

Injection Ciprofloxacin For Intravenous Infusion 200 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $31.92 / $55.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.97 / $1.26 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $2.90 / $2.90