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Utah rates for HCPCS J1201

Injection, cetirizine HCl, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $22.39 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $30.90 / $56.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $17.38 / $17.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $16.60 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98