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New York rates for HCPCS J0604

Cinacalcet, oral, 1 mg, (for ESRD on dialysis)

Facilitymedian $5 · 10th–90th $0–$6030%20%10th90th$5Professionalmedian $0 · 10th–90th $0–$9330%50%90th$0$0.0$0.5$10.0$200.0$5.0K$100.0K

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
$4.57 / $8.91 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $1,047.13 / $5,495.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $0.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $0.87 / $1.51
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $0.87 / $0.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.03 / $0.87
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.87 / $0.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.09 / $1.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $50.12
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $0.04 / $0.87
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.03 / $0.87 / $0.87