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Utah rates for HCPCS J2690

Injection, procainamide HCl, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $275.42 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $223.87 / $223.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $295.12 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74