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Utah rates for HCPCS J2360

Injection Orphenadrine Citrate Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.98 / $54.10 / $175.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.98 / $12.98 / $12.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.36 / $18.48 / $21.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.63 / $11.19 / $11.19