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New Jersey rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.85 / $21.02 / $40.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $14.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.84 / $15.19 / $19.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $14.84 / $14.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.28 / $66.48 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.91 / $14.91 / $15.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $23.11