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New Jersey rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $43.14 / $96.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $10.56 / $15.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $9.41 / $9.41
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $128.94 / $1,300.83
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.19 / $22.19 / $22.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.23 / $29.59 / $62.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $11.03 / $19.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $7.99 / $10.83
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.48 / $13.54 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.48 / $9.48 / $9.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $8.11 / $14.62