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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
$18.14 / $25.93 / $50.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $18.78 / $24.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $81.25 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $18.39 / $18.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.83 / $14.83 / $14.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $22.24