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New York rates for HCPCS J1571

Injection, hepatitis B immune globulin (Hepagam B), intramuscular, 0.5 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $97.72 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $131.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $77.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $281.84
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $87.10 / $239.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $112.20
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $69.18
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $69.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $77.62 / $109.65
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $79.43
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $66.07 / $79.43