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New Jersey rates for HCPCS C9254

Injection Lacosamide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.25 / $76.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.36 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.33