go back

New York rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.23 / $45.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.15 / $1.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.57 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $1.08 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.02 / $1.26
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.02
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $2.48 / $2.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $4.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.95
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.00 / $1.02