go back

Connecticut rates for HCPCS J0202

Lemtrada IV SOLN 12 MG/1.2ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,527.09 / $3,556.96 / $6,790.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,953.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $3,853.32 / $7,316.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,341.61 / $2,521.59 / $2,974.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,308.40 / $2,429.89 / $2,704.98