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New Jersey rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $27.54 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $21.38 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $9,549.93 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $21.38 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $20.89