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New Jersey rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $712.77 / $1,385.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $513.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.96 / $508.76 / $655.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.54 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.46 / $505.51 / $505.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $596.88