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New York rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $18.20 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $8.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.90
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $20.42
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.37 / $12.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $6.46
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $5.01
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $5.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $7.59 / $7.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $50,118.72 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $8.51
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $5.75
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.01 / $6.46