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New Jersey rates for HCPCS 80375

Drug/Substance Definitive Qual/Quant Nos 1-3

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $18.04 / $18.04
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $46.20 / $46.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.94 / $11.94 / $75.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.77 / $23.95 / $29.94
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.62 / $19.88 / $8,702.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.68 / $12.68 / $17.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.05 / $15.02 / $29.06