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New Jersey rates for HCPCS J9155

Injection, degarelix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.24 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $5.25 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.79 / $5.62
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $5.37 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.57 / $5.13