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New York rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $22.98 / $37.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $28.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.79 / $16.79 / $20.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $34.15
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.49 / $20.49 / $21.51
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.49 / $20.49 / $20.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $19.80 / $21.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $29.70 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $22.77 / $27.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $19.80 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $31.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.99 / $28.33
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99