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Connecticut rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.61 / $26.45 / $57.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $17.61 / $17.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $14.67 / $18.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.44 / $21.44 / $21.44
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $17.61 / $17.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $20.72 / $23.00