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New York rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.06 / $1.10 / $2.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.66 / $2.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $1.73 / $3.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.21 / $2.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $1.81 / $3.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $8.36 / $8.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.21 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $6.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $3.36
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.20