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New York rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.89 / $14.89 / $15.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $15.17 / $15.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $14.87 / $14.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.01 / $13.01 / $14.31
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $13.01 / $13.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.10 / $14.52 / $16.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.07 / $16.07 / $27.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.66 / $16.07 / $16.07
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $15.77 / $15.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.77 / $15.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $14.52 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $16.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $18.38 / $23.60
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $15.17 / $15.17
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.06 / $12.00 / $15.77