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Utah rates for HCPCS J7340

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.05 / $282.58 / $282.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.97 / $282.58 / $304.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.61 / $311.63 / $358.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.23 / $243.61 / $243.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $193.33 / $243.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.54 / $474.50 / $681.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.97 / $267.97 / $292.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61