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Utah rates for HCPCS J1330

Injection Ergonovine Maleate Up To 0.2 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $5.73 / $5.73