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Utah rates for HCPCS J7683

Triamcinolone Inhalation Solution Administered Through Dme Concentrated Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.85 / $3.85 / $3.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $3.85 / $3.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $4.53 / $4.53