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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
$63.10 / $138.04 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $66.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $89.13 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $56.23 / $69.18