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New York rates for HCPCS J1320

Injection, amitriptyline HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.11 / $2.11 / $3.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.11 / $2.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.38 / $2.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.38 / $4.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $2.77 / $2.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.38 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $3.02
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24