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New York rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $70.79 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $42.66 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.13 / $0.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.15
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $1.74 / $1.74
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.46 / $0.62
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.89 / $53,703.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $2.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.15
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $1.74 / $1.82
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10