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Connecticut rates for HCPCS J0791

Injection Crizanlizumab-Tmca 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.66 / $202.40 / $361.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.66 / $134.66 / $134.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.33 / $196.84 / $388.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.72 / $134.37 / $161.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.01 / $129.47 / $143.72