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Utah rates for HCPCS J1610

Injection, glucagon HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.58 / $352.08 / $786.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.64 / $211.64 / $211.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.45 / $272.29 / $279.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.45 / $182.45 / $182.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.95 / $382.71 / $549.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.45 / $182.45 / $182.45