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Connecticut rates for HCPCS J0289

Amphotericin B Liposome Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.34 / $34.15 / $60.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.34 / $22.34 / $22.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $32.65 / $66.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $23.31 / $26.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $21.48 / $58.14