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New Jersey rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $26.30 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.98 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $28.18
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $6,309.57 / $6,309.57
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $331.13 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $22.91