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New Jersey rates for HCPCS J1568

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.53 / $118.05 / $3,913.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $48.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.83 / $48.08 / $62.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.39 / $216.27 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $47.89 / $47.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.60 / $41.60 / $41.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $58.25