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New Jersey rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Facilitymedian $11,482 · 10th–90th $135–$25,1190%10%10th90th$11,482Professionalmedian $355 · 10th–90th $355–$3550%50%$355$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $11,481.54 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $5.01 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $354.81 / $371.54