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Connecticut rates for HCPCS J0694

Injection Cefoxitin Sodium 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $7.89 / $14.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $4.97 / $4.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.43 / $8.01 / $15.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.96 / $5.19 / $5.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.78 / $10.00