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Connecticut rates for HCPCS J1558

Injection Immune Globulin (Xembify) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.44 / $23.28 / $41.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.44 / $15.44 / $15.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.28 / $22.57 / $44.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $14.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.84 / $14.84 / $14.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $14.84 / $14.84
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $16.11 / $18.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.37 / $14.85 / $21.26