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Connecticut rates for HCPCS J1429

Injection Golodirsen 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $245.11 / $536.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.81 / $266.62 / $494.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $163.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.60 / $163.19 / $163.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $160.00 / $177.60