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New York rates for HCPCS 80358

Methadone

Facilitymedian $22 · 10th–90th $5$1020%10%20%10th90th$22Professionalmedian $10 · 10th–90th $5$230%20%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $60.26 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.05 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $18.20
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $13.18
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $51.29 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $26.30 / $114.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $21.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $22.91 / $23.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $30.90
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $22.39 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $16.98 / $43.65
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $28.84
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $23.44 / $28.84