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New York rates for HCPCS J2507

Injection, pegloticase, 1 mg

Facilitymedian $4,898 · 10th–90th $3,802$10,7150%20%10th90th$4,898Professionalmedian $3,802 · 10th–90th $3,802$6,4570%50%90th$3,802$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,370.32 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,890.45 / $9,332.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,801.89
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $3,090.30
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $5,011.87 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $15,488.17
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,677.35 / $13,182.57
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $5,011.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,801.89
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,801.89
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,801.89 / $5,888.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,801.89 / $5,623.41
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $4,365.16
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $3,630.78 / $4,365.16