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New Jersey rates for HCPCS J9225

Histrelin implant (Vantas), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,971.34 / $6,114.75 / $13,046.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,035.55 / $4,854.35 / $4,971.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,971.34 / $5,160.59 / $6,433.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,971.34 / $4,971.34 / $4,971.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,361.25 / $5,848.63 / $6,302.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.58 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,971.34 / $4,971.34 / $4,971.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,873.85 / $5,117.55 / $5,799.89