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New Jersey rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $69.95 / $121.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $48.46 / $49.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.30 / $56.82 / $62.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.46 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.96 / $49.62 / $49.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $58.38