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New York rates for HCPCS M0246

Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the COVID-19 public health emergency

Insurance Carrier
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $616.60 / $1,000.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $707.95 / $707.95
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $707.95 / $1,778.28