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New York rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Facilitymedian $72 · 10th–90th $56$1320%20%10th90th$72Professionalmedian $56 · 10th–90th $56$720%50%90th$56$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$56.23 / $75.86 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $51.29
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $74.13 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $239.88
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $67.61 / $190.55
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $79.43
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $58.88
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $57.54
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $56.23 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $56.23 / $91.20
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $64.57
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $67.61