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Utah rates for HCPCS J3315

Injection, triptorelin pamoate, 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.80 / $550.80 / $4,240.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.80 / $550.80 / $550.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.02 / $635.66 / $731.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $474.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.42 / $926.19 / $1,329.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $474.84 / $528.60