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New Jersey rates for HCPCS J1573

Injection, hepatitis B immune globulin (Hepagam B), intravenous, 0.5 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $101.04 / $188.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $67.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.87 / $90.77 / $117.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.15 / $156.41 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.66 / $71.66 / $90.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $70.25 / $113.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $66.64 / $81.66