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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
$11.44 / $140.34 / $272.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $11.44 / $47.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $14.55 / $18.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86