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Connecticut rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.11 / $789.59 / $1,421.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.11 / $529.11 / $529.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.42 / $773.42 / $1,572.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.96 / $551.95 / $636.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.88 / $508.76 / $564.72