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New York rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.62 / $3.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.12
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $5.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.51 / $4.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.26
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.23 / $1.74
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.45
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.26 / $1.48