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New Jersey rates for HCPCS J0745

Injection Codeine Phosphate Per 30 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.82 / $3.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.26 / $1.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.35 / $2.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.46 / $1.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.63 / $165.00 / $269.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.60