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Connecticut rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $81.93 / $179.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.54 / $94.50 / $169.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $56.42 / $56.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $62.06 / $74.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.78 / $56.42 / $62.63