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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
$5,128.61 / $8,317.64 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $5,754.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $7,585.78 / $11,748.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $4,897.79
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $5,128.61 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $4,897.79 / $5,128.61