go back

New Jersey rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $2.58 / $22.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.89 / $2.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $1.99 / $2.23
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.83 / $1.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $3.01 / $3.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.10