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Connecticut rates for HCPCS Q9991

Injection Buprenorphine Extended-Release (Sublocade) Less Than Or Equal To 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.08 / $3,160.74 / $5,634.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.08 / $2,097.08 / $2,097.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,076.31 / $3,065.36 / $6,044.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.52 / $2,410.77 / $2,540.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.78 / $2,016.42 / $2,337.55