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Connecticut rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.96 / $1,630.91 / $2,920.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.96 / $1,086.96 / $1,086.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.19 / $1,588.84 / $3,229.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.58 / $1,133.89 / $1,307.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.64 / $1,045.15 / $1,457.28