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Connecticut rates for HCPCS 80375

Drug/Substance Definitive Qual/Quant Nos 1-3

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $115.00 / $115.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.56 / $29.73 / $58.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $20.59 / $30.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $25.34 / $29.94
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.09 / $30.09 / $32.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.13 / $20.17 / $48.84