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New Jersey rates for HCPCS J1562

Injection, immune globulin (Vivaglobin), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $17.26 / $29.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $11.95 / $12.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.16 / $7.25 / $11.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $12.24 / $12.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $16.13