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Utah rates for HCPCS J3304

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.22 / $21.22 / $1,785.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $21.22 / $21.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.06 / $25.65 / $27.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.52 / $36.02 / $51.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30