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Utah rates for HCPCS J3420

Injection, vitamin B-12 cyanocobalamin, up to 1,000 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $22.91 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.24 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.58 / $1.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $2.34 / $8.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65