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New Jersey rates for HCPCS Q9991

Injection Buprenorphine Extended-Release (Sublocade) Less Than Or Equal To 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,470.69 / $5,415.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,036.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,137.60 / $2,766.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,925.23 / $4,283.18 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.23 / $1,925.23 / $2,047.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,816.65 / $1,816.65 / $1,816.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,540.81