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Utah rates for HCPCS J2358

Olanzapine Long-Acting Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $4.16 / $4.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $5.90 / $8.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $2.92 / $2.92