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Connecticut rates for HCPCS 67028

Intravitreal Njx Pharmacologic Agt Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.43 / $4,136.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.27 / $160.09 / $583.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$164.09 / $226.91 / $718.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,646.00 / $8,848.00 / $48,249.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.88 / $172.63 / $234.72
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$119.82 / $258.94 / $352.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.56 / $208.94 / $398.01
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.63 / $340.98 / $532.33
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $500.00 / $1,364.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $3,983.00 / $6,832.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.87 / $167.15 / $368.52