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New Jersey rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $85.11 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $66.07 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $9,332.54 / $23,988.33
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $63.10 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $56.23 / $64.57