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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
$66.07 / $107.15 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $74.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $100.00 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $70.79 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $64.57 / $125.89