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New York rates for HCPCS J1300

Injection, eculizumab, 10 mg

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.33 / $179.33 / $224.16
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.94 / $228.94 / $240.39
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.94 / $228.94 / $228.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.16 / $259.10 / $327.25
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.95 / $192.95 / $192.95
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.95 / $192.95 / $199.15