go back

New Jersey rates for HCPCS C9090

Injection, plasminogen, human-tvmh, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.84 / $29.88 / $30.60
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60