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New York rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.83 / $1.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.05 / $1.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $1.29 / $2.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.43 / $1.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $2.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.43 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $2.13
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.64