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Connecticut rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.35 / $89.20 / $156.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.35 / $58.35 / $58.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.77 / $85.28 / $168.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.10 / $56.10 / $56.10
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.22 / $58.22 / $70.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.49 / $56.10 / $66.34