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New York rates for HCPCS J9301

Injection, obinutuzumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.45 / $102.00 / $17,798.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $95.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $75.20 / $75.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.20 / $63.20 / $79.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.52 / $79.00 / $81.97
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.11 / $64.11 / $67.31
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.11 / $64.11 / $64.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.92 / $74.52 / $87.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $85.70
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.70 / $122.96 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.97 / $85.70 / $98.81
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $79.00 / $81.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $81.98 / $81.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.85 / $87.85 / $87.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.92 / $74.52 / $94.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $94.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $82.80 / $108.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.98 / $81.98 / $81.98
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $81.98 / $81.98