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Connecticut rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.02 / $479.21 / $862.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.02 / $321.02 / $321.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.67 / $469.26 / $925.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.33 / $334.89 / $386.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.25 / $308.68 / $332.75