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New York rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $16.57 / $24.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $16.57 / $17.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.34 / $7.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $18.32 / $18.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $18.64 / $32.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.76 / $21.76 / $21.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $18.32 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $30.55
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $16.57 / $17.61
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $16.57 / $17.61