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New Jersey rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $76.92 / $133.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.28 / $53.27 / $54.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $67.70 / $74.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.31 / $1,165.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $64.18