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New Jersey rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $38.02 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $10.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.07 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.17 / $5.25
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10,715.19 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.68 / $4.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $10.96 / $11.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.37 / $6.61