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Connecticut rates for HCPCS J0850

Injection, cytomegalovirus immune globulin intravenous (human), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,880.99 / $2,826.31 / $5,054.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.99 / $1,880.99 / $1,880.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.04 / $2,749.51 / $5,421.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.90 / $1,962.21 / $2,262.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.79 / $1,808.65 / $2,025.69