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New Jersey rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $21.88 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $16.22 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $9,549.93 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $16.60 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $16.60