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Utah rates for HCPCS J1980

Injection, hyoscyamine sulfate, up to 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $52.48 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70