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Utah rates for HCPCS J3230

Injection, chlorpromazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $23.99 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $41.69 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $53.70
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.12 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99