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Utah rates for HCPCS J2280

Injection, moxifloxacin, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $12.30 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.12 / $10.96
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.12 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12