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Utah rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.30 / $303.30 / $1,724.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.30 / $303.30 / $303.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.39 / $466.18 / $669.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.39 / $298.30 / $298.30