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New Jersey rates for HCPCS J0207

Injection, amifostine, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,092.83 / $1,344.19 / $2,666.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.13 / $1,067.11 / $1,092.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.05 / $1,092.83 / $1,414.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.83 / $1,092.83 / $1,092.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.83 / $1,092.83 / $1,385.54
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.83 / $1,092.83 / $1,092.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.41 / $1,124.98 / $1,285.69