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Connecticut rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $74.52 / $163.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.73 / $81.48 / $150.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $49.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $52.16 / $62.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.79 / $48.65 / $54.00