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Connecticut rates for HCPCS J1930

Somatuline Depot SC SOLN 120 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.40 / $57.25 / $8,715.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $35.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.06 / $55.05 / $124.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $36.94 / $42.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $34.04 / $77.86