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Connecticut rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $11.22 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $18.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $10.72 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.71 / $10.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.76 / $77.62