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Connecticut rates for HCPCS J1120

Acetazolamid Sodium Injectio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.64 / $28.04 / $64.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.64 / $20.64 / $20.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.72 / $33.22 / $68.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $19.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.84 / $19.84 / $19.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $19.84 / $19.84
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.59 / $21.53 / $24.82
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.13 / $56.13 / $56.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.86 / $19.84 / $45.59