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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
$20.89 / $977.24 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $25.70 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $34.67 / $64.57
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $19.50 / $23.99
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $18.20 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62