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New York rates for HCPCS J0491

Injection, anifrolumab-fnia, 1 mg

Facilitymedian $23 · 10th–90th $18$540%20%10th90th$23Professionalmedian $18 · 10th–90th $18$6,1660%50%90th$18$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$18.20 / $23.99 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.95 / $6,760.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $77.62
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $21.88 / $63.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $23.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $19.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $18.20 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $18.20 / $38.02
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $20.42
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $21.88