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New Jersey rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $10.23 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $18.20 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $38.02 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $53.70 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $21.88