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Connecticut rates for HCPCS A4707

Bicarbonate conc pow per pac

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $5.14 / $5.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.35 / $10.00 / $15.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,999.35 / $64,999.35 / $64,999.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00