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New Jersey rates for HCPCS J0896

Injection, luspatercept-aamt, 0.25 mg

Facilitymedian $69 · 10th–90th $55$13,4900%20%10th90th$69Professionalmedian $42 · 10th–90th $42$650%50%90th$42$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $42.66 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $57.54 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $50.12
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $9,549.93 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $50.12 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $42.66 / $48.98