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New York rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $13.90 / $22.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $15.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.06 / $25.82
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $14.14 / $14.85
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.14 / $14.14 / $14.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $12.32 / $17.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $18.48 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.17 / $14.17 / $34.25
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $12.32 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.39 / $34.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $33.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.55 / $13.55 / $13.55
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.93 / $13.06 / $20.99