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New Jersey rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $26.56 / $51.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $21.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $25.07 / $32.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $89.05 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $18.84 / $23.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $22.14