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New Jersey rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.86 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.45 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $9,549.93 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.35 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.23 / $1.35