go back

New York rates for HCPCS J1324

Injection, enfuvirtide, 1 mg

Facilitymedian $1 · 10th–90th $1–$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%50%90th$1$0.5$5.0$50.0$500.0$5.0K$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
$1.12 / $1.58 / $1.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $0.72 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $37.15
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $1.17
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.83
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.71 / $0.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.71 / $0.71
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $0.87 / $0.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $1.12
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.71 / $0.78
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.71 / $0.83