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New Jersey rates for HCPCS 80159

Clozapine

Facilitymedian $41 · 10th–90th $26–$2000%10%20%10th90th$41Professionalmedian $17 · 10th–90th $13–$360%20%40%10th90th$17$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $38.90 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $44.67 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.49 / $52.48
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.00 / $20.89
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $10,715.19 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.78 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $19.95 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.02 / $25.12