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New York rates for HCPCS J0897

Injection, denosumab, 1 mg

Facilitymedian $1,738 · 10th–90th $30$7,4130%10%10th90th$1,738Professionalmedian $58 · 10th–90th $29$2,9510%20%10th90th$58$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $2,137.96 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $549.54 / $3,630.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $22.39
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $38.90 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $125.89
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $35.48 / $100.00
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $40.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $30.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $30.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $37.15 / $41.69
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $69.18 / $53,703.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $29.51 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.90 / $54.95
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $33.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $29.51 / $35.48