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Utah rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $41.69 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $81.28 / $114.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66