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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
$63.68 / $88.08 / $171.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $64.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $63.68 / $79.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.48 / $285.08 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $56.52 / $56.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.81 / $49.81 / $70.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $78.04