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Connecticut rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.08 / $531.79 / $1,164.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.08 / $354.08 / $354.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.04 / $1,066.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.97 / $367.96 / $404.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.90 / $381.84 / $460.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.79 / $357.54 / $396.87