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Utah rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.15 / $15.15 / $40.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $15.15 / $15.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.22 / $17.05 / $20.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06