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New York rates for HCPCS J1327

Injection, eptifibatide, 5 mg

Facilitymedian $12 · 10th–90th $10–$830%20%10th90th$12Professionalmedian $10 · 10th–90th $9–$250%50%10th90th$10$5.0$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
$9.55 / $12.30 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.77 / $16.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $10.96 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $11.48
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $25.70
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $29.51 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $53.70
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $33.88 / $54.95
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $32.36 / $39.81
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $28.84
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $28.84
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.72 / $38.90
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $28.84
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $14.13 / $28.84