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Connecticut rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $18.38 / $40.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $12.24 / $12.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $39.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $7.25 / $7.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $12.24 / $12.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.96 / $14.40 / $16.13