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Utah rates for HCPCS J3000

Streptomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $42.56 / $42.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $42.56 / $42.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.06 / $37.32 / $47.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $36.69 / $36.69