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New Jersey rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $437.96 / $963.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.14 / $303.30 / $310.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.27 / $317.51 / $393.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.49 / $631.34 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.95 / $316.95 / $316.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $365.55