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New Jersey rates for HCPCS J0706

Injection Caffeine Citrate 5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.73 / $25.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.20 / $1.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.00 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.02 / $1.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.48