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New York rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $6.98 / $961.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $7.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $3.56 / $4.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.45 / $7.18
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.26
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.24 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.62
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.83 / $6.93 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $4.83 / $5.88
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.62 / $4.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.24 / $85.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.72 / $6.56
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $4.62 / $4.62
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.62 / $4.62