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New York rates for HCPCS J0172

Injection, aducanumab-avwa, 2 mg

Facilitymedian $6 · 10th–90th $6–$100%50%90th$6Professionalmedian $6 · 10th–90th $6–$600%50%90th$6$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
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $12.59
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $50,118.72 / $53,703.18
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.46 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $70.79
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.76
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $7.24