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Connecticut rates for HCPCS J1569

Gammagard Liquid Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $77.77 / $9,765.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $68.88 / $140.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.03 / $49.16 / $56.69
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.09 / $1,478.09 / $1,478.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.78 / $45.31 / $96.39