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New Jersey rates for HCPCS J1746

Injection Ibalizumab-Uiyk 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $111.94 / $217.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $80.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $81.50 / $105.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.41 / $336.26 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.23 / $77.95 / $77.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.37 / $64.37 / $64.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $91.75