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New York rates for HCPCS J2460

Injection, oxytetracycline HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.32 / $2.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.91 / $1.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $1.00 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.35
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.93 / $0.93