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New Jersey rates for HCPCS J1557

Injection, immune globulin, (Gammaplex), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $95.50 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $72.44 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $9,772.37 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $70.79 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $64.57 / $72.44