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New York rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $4.33 / $11.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.12 / $3.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $6.29
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.76
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $1.92 / $4.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $2.88 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $5.34
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.78 / $8.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $1.92 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.13 / $4.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.68
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.11
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.11 / $6.41