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New York rates for HCPCS J9302

Injection, ofatumumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.96 / $57.92 / $133.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.96 / $60.09 / $63.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.17 / $51.17 / $63.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $60.34 / $96.23
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.96 / $63.96 / $67.16
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.96 / $63.96 / $63.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $66.02 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $72.34
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $92.31 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $78.03
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $63.96 / $63.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $63.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.09 / $85.00 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $72.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $63.96 / $81.31
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $63.96