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Connecticut rates for HCPCS J0288

Ampho B Cholesteryl Sulfate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.60 / $20.43 / $44.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $13.60 / $13.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $39.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $14.00 / $15.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $13.60 / $14.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $16.00 / $17.76