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Utah rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.40 / $590.40 / $602.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.40 / $590.40 / $590.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.14 / $693.02 / $746.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.66 / $1,007.96 / $1,447.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.51 / $508.96 / $508.96