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New Jersey rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $5.42 / $17.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.06
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $151.15 / $755.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $3.53 / $4.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $3,243.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $2.71 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.50