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New York rates for HCPCS J1557

Injection, immune globulin, (Gammaplex), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.47 / $76.20 / $124.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $125.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.94 / $50.94 / $63.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.94 / $63.68 / $78.54
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.80 / $50.80 / $53.34
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.80 / $50.80 / $50.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.39 / $60.08 / $63.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.08 / $90.12 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.09 / $69.09 / $144.88
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.68 / $63.68 / $66.09
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $66.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.39 / $60.08 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.77 / $63.68 / $79.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $71.31 / $103.63
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.09 / $66.09 / $66.09
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $63.68 / $66.09