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Connecticut rates for HCPCS J9040

Bleomycin Sulfate 15 Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $32.64 / $86.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.74 / $29.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.91 / $37.18 / $91.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $21.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.34 / $23.35 / $32.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $21.53 / $46.75