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New Jersey rates for HCPCS J1322

Elosulfase Alfa, Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $432.59 / $840.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $311.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.20 / $308.68 / $398.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.94 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.01 / $306.79 / $306.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.97 / $631.97 / $631.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $361.68