go back

Connecticut rates for HCPCS J7340

Carbidopa 5 Mg/Levodopa 20 Mg Enteral Suspension 100 Ml (Desc Revised 01/01/2017) Dermal And Epidermal (Substitute) Tissue Of Humanorigin With Or Without Bioengineered Or Processed Elements With Metabolically Active Elements Per Square Centimeter (Del 12/31/08)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.35 / $379.79 / $680.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.76 / $243.61 / $273.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $354.62 / $730.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.54 / $238.54 / $238.54
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $264.29 / $304.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $243.61 / $258.23