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Utah rates for HCPCS J2545

Pentamidine Non-Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.88 / $80.88 / $95.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.88 / $80.88 / $313.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.34 / $95.63 / $120.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $95.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $76.70 / $83.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $69.73 / $69.73