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Utah rates for HCPCS J0745

Injection Codeine Phosphate Per 30 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.46 / $219.71 / $277.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.52 / $1.52