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Connecticut rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $114.13 / $249.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.65 / $124.15 / $230.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $75.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.05 / $74.50 / $82.70