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Connecticut rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.68 / $8.11 / $15.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $5.68 / $5.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $8.30 / $16.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $5.92 / $6.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $5.46 / $6.93