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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
$16.72 / $24.35 / $44.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.72 / $16.72 / $16.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.55 / $26.80 / $91.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.07 / $16.07
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $16.69 / $20.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $16.07 / $78.45