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Utah rates for HCPCS J9175

Injection, Elliotts' B solution, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.16 / $10.16 / $10.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $10.16 / $10.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $10.65 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $12.81 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19