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Connecticut rates for HCPCS J0257

Injection, alpha 1 proteinase inhibitor (human), (GLASSIA), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $8.84 / $15.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $5.86 / $5.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $8.57 / $17.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.64
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $6.12 / $7.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.08 / $5.64 / $7.27