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Utah rates for HCPCS J7312

Injection, dexamethasone, intravitreal implant, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $2,187.76 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $234.42 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $295.12 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $204.17 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $165.96 / $263.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $407.38 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $223.87 / $245.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $213.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $204.17 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $204.17