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New Jersey rates for HCPCS 90396

Varicella-Zoster Immune Globulin Human Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.36 / $2,326.37 / $2,861.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.37 / $2,326.37 / $2,326.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.21 / $2,554.44 / $2,880.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.44 / $2,554.44 / $2,554.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,478.01 / $5,113.89 / $10,573.16
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $113.00 / $113.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.17 / $2,584.10 / $2,772.03