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New York rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $10.40 / $15.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.97 / $10.40 / $11.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $9.76 / $14.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.72 / $11.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.70 / $11.70 / $20.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.65 / $13.65 / $13.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.72 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $13.00 / $13.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $18.22
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05