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New Jersey rates for HCPCS J1452

Injection, fomivirsen sodium, intraocular, 1.65 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $1,198.50 / $2,074.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.00 / $830.00 / $850.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.20 / $212.00 / $233.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.00 / $212.00 / $212.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.00 / $212.00 / $259.80