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Utah rates for HCPCS J2680

Injection, fluphenazine decanoate, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $12.59 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.75 / $13.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.24 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17