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New Jersey rates for HCPCS J1569

Gammagard Liquid Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $74.66 / $8,469.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $53.33 / $69.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.98 / $192.23 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $45.13 / $45.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.71 / $47.71 / $55.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $55.53