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Utah rates for HCPCS J2300

Injection Nalbuphine Hydrochloride Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $22.83 / $39.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.30 / $4.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.51 / $5.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.70 / $3.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.70 / $3.70