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New Jersey rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $32.64 / $42.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.31 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $26.31 / $32.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $32.61