go back

Connecticut rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $26.63 / $47.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $17.52 / $17.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.34 / $25.60 / $50.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $18.27 / $21.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $16.84 / $26.29