Indigotindisulfonate 8 mg/ml soln 5 ml ampule cost in New York

indigotindisulfonate 8 MG/ML Soln 5 mL Ampule · HCPCS J9220

Hospital City Cash price Negotiated range Payers
Clifton Springs Hospital and Clinic Clifton Springs not published $10.60 – $10.60 1
Newark Wayne Community Hospital Newark not published $10.20 – $10.60 2
The Unity Hospital of Rochester Rochester not published $10.20 – $10.60 2
Rochester General Hospital Rochester not published $10.20 – $10.60 2
North Central Bronx Bronx not published $7.72 – $18.60 15
South Brooklyn Health Brooklyn not published $7.72 – $18.60 15
Jacobi Medical Center Bronx not published $7.72 – $18.60 15
Elmhurst Hospital Center NY 11373 not published $7.72 – $18.60 15
Queens Hospital Center Jamaica not published $7.72 – $18.60 15
Woodhull Medical Center Brooklyn not published $7.72 – $18.60 15
Harlem Hospital Center New York not published $7.72 – $18.60 15
Metropolitan Hospital Center New York not published $7.72 – $18.60 15
Lincoln Medical Center Bronx not published $7.72 – $18.60 15
Kings County Hospital Center Brooklyn not published $7.72 – $18.60 15
Bellevue Hospital Center NY 10016 not published $7.72 – $18.60 15