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New York rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.93 / $4.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $1.94 / $2.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.42 / $2.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $3.42 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.50
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.42 / $3.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.39
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.50