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Utah rates for HCPCS J1100

Injection Dexamethasone Sodium Phosphate 1mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.79 / $24.77 / $75.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.41 / $3.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.14 / $0.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09