go back

New York rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.58 / $102.94 / $8,383.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $81.95 / $142.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.04 / $63.04 / $78.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.73 / $78.80 / $86.49
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.59 / $69.59 / $1,208.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.59 / $69.59 / $69.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.12 / $74.33 / $78.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $78.79
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.33 / $111.50 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.49 / $85.49 / $143.40
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.80 / $78.80 / $81.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $78.80 / $81.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.12 / $74.33 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $78.79 / $113.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $88.26 / $123.46
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.77 / $81.77 / $81.77
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $78.80 / $81.77