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Connecticut rates for HCPCS J1573

Injection Hepatitis B Immune Globulin (Hepagam B) Intravenous 0.5ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.31 / $105.96 / $186.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.31 / $69.31 / $69.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.62 / $101.31 / $228.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $69.16 / $83.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.98 / $66.64 / $102.92