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Utah rates for HCPCS J1335

Injection, ertapenem sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $147.91 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.00 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $14.45 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.41 / $54.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $66.07 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12