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Connecticut rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.88 / $28.45 / $50.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.88 / $18.88 / $18.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.63 / $27.59 / $56.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $19.69 / $22.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.34 / $18.14 / $27.07