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Connecticut rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.89 / $125.29 / $236.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.95 / $81.95 / $81.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.23 / $118.79 / $236.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $78.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.76 / $85.49 / $98.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.92 / $78.80 / $125.64