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Utah rates for HCPCS J2278

Injection, ziconotide, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $1,122.02 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $13.80 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $18.62 / $33.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $10.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $10.23 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47