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New Jersey rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $54.22 / $216.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.16 / $34.60 / $38.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.40 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.96 / $35.90 / $35.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $42.11