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New Jersey rates for HCPCS J1555

Injection, immune globulin (Cuvitru), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $24.80 / $47.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $17.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $17.64 / $22.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.06 / $75.39 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $17.59 / $17.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $14.21 / $14.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $20.64