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New Jersey rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.94 / $16.64 / $18.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.54 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $14.89 / $14.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $17.30 / $23.60