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Connecticut rates for HCPCS J1557

Injection, immune globulin, (Gammaplex), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.23 / $97.56 / $177.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.23 / $66.23 / $66.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.76 / $96.81 / $190.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $69.09 / $79.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.31 / $63.68 / $126.94