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New Jersey rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.08 / $499.25 / $863.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.43 / $345.74 / $354.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.77 / $367.96 / $404.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.08 / $354.08 / $354.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $357.54 / $416.56