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New Jersey rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $787.57 / $1,530.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $564.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $635.58 / $822.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.09 / $2,046.20 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.02 / $536.02 / $563.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.94 / $661.94 / $661.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $645.98