go back

Utah rates for HCPCS J2680

Injection Fluphenazine Decanoate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.47 / $8.47 / $8.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.47 / $8.47 / $8.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.01 / $12.60 / $14.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $7.31 / $7.31