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Utah rates for HCPCS J1100

Injection, dexamethasone sodium phosphate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $23.99 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $1.05 / $4.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.17
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11