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Utah rates for HCPCS J7340

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

Facilitymedian $288 · 10th–90th $282–$6170%20%40%10th90th$288Professionalmedian $269 · 10th–90th $245–$3020%50%10th90th$269$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $269.15 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $323.59 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $309.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $151.36 / $245.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $489.78 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $269.15 / $295.12
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $251.19
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $245.47 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $117.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $245.47 / $245.47