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Utah rates for HCPCS J1450

Injection, fluconazole, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $50.12 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $3.63 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.98 / $5.89
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.24 / $5.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47