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Utah rates for HCPCS J1790

Injection, droperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.71 / $57.36 / $77.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $13.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $7.63 / $11.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $10.34 / $10.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.63