Price of Caffeine Citrate IV Solution 60 mg/3 mL at NYU Langone
Last Updated: 2024-07-01
Locations
Expand
NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Caffeine Citrate IV Solution 60 mg/3 mL
Service Codes: LOCAL 5010003, HCPCS J0706
This intravenous solution is used to treat apnea in premature infants by stimulating breathing. It helps improve respiratory function and reduce the need for mechanical ventilation.
Pricing Overview
Cash Price
$2.50
Median Price
$1.50
Price Range
$0.85 - $190.92
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| MultiPlan | PPO | $10.26 |
| UnitedHealthcare | Choice | $6.58 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $0.85 |
| Cigna | PPO | $3.95 |
| EmblemHealth | GHI EPO | $0.90 |
| EmblemHealth | GHI Behavioral Management Program | $0.90 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $0.91 |
| MultiPlan | Kaiser Permanente | $10.26 |
| EmblemHealth | CMO Essential Plan 4 | $0.85 |
| GEHA | All Plans | $7.89 |
| Blue Cross Blue Shield | Pathway | $1.02 |
| BCBS (Out of State) | HMO | $0.91 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $0.91 |
| EmblemHealth | Essential Plan 2 | $1.02 |
| Aetna | PPO | $7.89 |
| EmblemHealth | Healthcare Partners Essential Plans | $1.02 |
| MultiPlan | US Life Insurance Co | $10.26 |
| EmblemHealth | HIP Optum Health | $1.19 |
| Blue Cross Blue Shield | HMO | $0.91 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $0.85 |
| EmblemHealth | HIP Montefiore | $1.19 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $0.85 |
| EmblemHealth | HIP | $1.19 |
| Healthfirst | Essential Plan 2 | $190.92 |
| Blue Cross Blue Shield | Blue Connection | $0.91 |
| Blue Cross Blue Shield | Pathway Enhanced | $1.02 |
| EmblemHealth | Essential Plan 4 | $0.85 |
| Horizon BCBS | Direct | $0.91 |
| Three Rivers | All Plans (Home-based Only) | $11.84 |
| UnitedHealthcare | Golden Rule Insurance | $6.58 |
| 1199SEIU Funds | Member Choice Home Care Select | $3.22 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $1.02 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $0.91 |
| EmblemHealth | HIP EPO | $1.19 |
| Aetna | Nippon Life ASA PPO | $7.89 |
| Aetna | Healthscope ASA PPO | $7.89 |
| EmblemHealth | GHI composite | $0.90 |
| Fidelis Care | Gold for Children (Exchange) | $1.50 |
| Cigna | HMO | $3.95 |
| Blue Cross Blue Shield | Healthy New York | $0.91 |
| Healthfirst | Gold Leaf (Exchange) | $190.92 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $0.91 |
| MultiPlan | Humana Health Plan | $10.26 |
| MultiPlan | Screen Actors Guild | $10.26 |
| MultiPlan | Meritain Health | $10.26 |
| Fidelis Care | Essential Plan 3 | $0.87 |
| UnitedHealthcare | Independent | $6.58 |
| MultiPlan | Principal Financial Group | $10.26 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $0.85 |
| MultiPlan | QualCare Inc | $10.26 |
| Cigna | Great West HMO | $3.95 |
| EmblemHealth | IUOE Local 14-14B | $0.90 |
| UnitedHealthcare | PPO | $6.58 |
| EmblemHealth | HIP compre health | $1.19 |
| Cigna | Wellfleet Student | $3.95 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $0.90 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $0.85 |
| MultiPlan | Paramount Insurance | $10.26 |
| 1199SEIU Funds | PPO | $3.22 |
| Blue Cross Blue Shield | Hotel Trades Council | $0.91 |
| EmblemHealth | Essential Plan 1, 200-250 | $1.02 |
| Blue Cross Blue Shield | Pathway X Enhanced | $1.02 |
| Anthem BCBS | Empire Plan, Value Options | $0.91 |
| EmblemHealth | HIP Access I | $1.19 |
| MultiPlan | Guardian Life Insurance Co | $10.26 |
| UnitedHealthcare | Optum Health | $6.58 |
| Cigna | Great West PPO | $3.95 |
| Aetna | Meritain Health | $7.89 |
| UnitedHealthcare | Student Resources | $6.58 |
| Healthfirst | Essential Plan 1-2, 200-250 | $190.92 |
| Aetna | Christian Brothers ASA PPO | $7.89 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $0.91 |
| Aetna | Allied ASA PPO | $7.89 |
| BCBS (Out of State) | EPO | $0.91 |
| Fidelis Care | Bronze (Exchange) | $1.50 |
| UnitedHealthcare | Core | $6.58 |
| Humana | All Commercial Plans | $10.26 |
| MultiPlan | Diversified Admin Corp | $10.26 |
| UnitedHealthcare | Choice (NY Power Authority) | $6.58 |
| MultiPlan | Global Excel Management | $10.26 |
| Healthfirst | Silver Leaf (Exchange) | $190.92 |
| EmblemHealth | BCBS GHI Composite | $0.91 |
| UnitedHealthcare | Navigate | $6.58 |
| Blue Cross Blue Shield | EPO | $0.91 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $0.91 |
| Anthem BCBS HealthPlus | Medicaid | $0.85 |
| EmblemHealth | HIP Child Health Plus | $0.85 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $0.85 |
| EmblemHealth | GHI PPO | $0.90 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $0.91 |
| UnitedHealthcare | Charter | $6.58 |
| Fidelis Care | Native American (Exchange) | $1.50 |
| Healthfirst | Platinum Leaf (Exchange) | $190.92 |
| EmblemHealth | GHI HMO | $0.90 |
| Fidelis Care | Bronze for Children (Exchange) | $1.50 |
| Cigna | NALC PPO | $3.95 |
| MultiPlan | Healthnet of California | $10.26 |
| Aetna | Signature Administrators PPO | $7.89 |
| MultiPlan | PHCS | $10.26 |
| Fidelis Care | Platinum (Exchange) | $1.50 |
| BCBS (Out of State) | Indemnity | $0.91 |
| Cigna | Open Access | $3.95 |
| Fidelis Care | Silver 250 (Exchange) | $1.50 |
| MetroPlus | Essential Plan 1-2, 200-250 | $0.85 |
| EmblemHealth | HIP HMO | $1.19 |
| UnitedHealthcare | POMCO (UMR) | $6.58 |
| Cigna | Open Access PPO | $3.95 |
| MultiPlan | Teamsters Allied Benefits | $10.26 |
| Blue Cross Blue Shield | Federal Program | $0.91 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $0.90 |
| Blue Cross Blue Shield | Indemnity | $0.91 |
| Aetna | Student Health | $7.89 |
| MultiPlan | Fiserv Health | $10.26 |
| EmblemHealth | American Plan Administrators | $0.90 |
| Fidelis Care | Gold (Exchange) | $1.50 |
| EmblemHealth | HIP Access II | $1.19 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $6.58 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $0.85 |
| MultiPlan | Nippon Life | $10.26 |
| EmblemHealth | HIP POS | $1.19 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $0.91 |
| Anthem BCBS | All Plans | $0.91 |
| Aetna | Global National Transplant | $7.89 |
| Fidelis Care | Essential Plan 2 | $1.15 |
| MultiPlan | Global Health Management | $10.26 |
| MetroPlus | Gold | $1.82 |
| Cigna | Open Access HMO | $3.95 |
| Cigna | Indemnity | $3.95 |
| Blue Cross Blue Shield | UniCare | $0.91 |
| First Health | PPO | $10.26 |
| Cigna | LifeSOURCE | $3.95 |
| EmblemHealth | CMO Essential Plan 1 | $1.02 |
| UnitedHealthcare | EPO | $6.58 |
| MetroPlus | GoldCare 2 | $1.82 |
| BCBS (Out of State) | POS (Suitcase Logo) | $0.91 |
| MultiPlan | PHP Healthcare (Champus) | $10.26 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $0.91 |
| MetroPlus | Essential Plan 1 | $0.85 |
| Aetna | Starmark ASA PPO | $7.89 |
| Aetna | Indemnity | $0.13 |
| Blue Cross Blue Shield | Blue Priority PPO | $0.91 |
| Cigna | Cigna Managed Care/POS | $3.95 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $1.70 |
| Anthem BCBS HealthPlus | All Exchange Plans | $1.02 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $0.91 |
| MultiPlan | Mutual of Omaha | $10.26 |
| Fidelis Care | Essential Plan 1 | $1.15 |
| EmblemHealth | HIP PPO | $1.19 |
| UnitedHealthcare | HMO | $6.58 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $0.85 |
| Healthfirst | Essential Plan 1 | $190.92 |
| EmblemHealth | Enhanced Care (Medicaid) | $0.85 |
| Aetna | Coresource ASA PPO | $7.89 |
| MultiPlan | PHCS Director Guild | $10.26 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $0.91 |
| EmblemHealth | HIP compre health epo | $1.19 |
| EmblemHealth | Essential Plan 3 | $0.85 |
| MultiPlan | AXA Global Insurance | $10.26 |
| First Health | Commercial HMO | $11.05 |
| 1199SEIU Funds | Home Care Benefit Fund | $3.22 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $0.91 |
| MultiPlan | Capital District Physicians Health Plan | $10.26 |
| Fidelis Care | Medicaid Managed Care | $0.87 |
| EmblemHealth | CMO Essential Plan 2 | $1.02 |
| Cigna | Tufts Health Plan | $3.95 |
| Healthfirst | Bronze Leaf (Exchange) | $190.92 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $0.85 |
| Fidelis Care | Silver for Children (Exchange) | $1.50 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $0.91 |
| Aetna | POS | $7.89 |
| MetroPlus | Essential Plan 2 | $0.85 |
| EmblemHealth | Bridge | $1.19 |
| Cigna | Premier Plus | $3.95 |
| UnitedHealthcare - Oxford | Optum Health | $6.58 |
| EmblemHealth | HIP SmartStart | $1.19 |
| Health Net | PPO | $10.26 |
| MultiPlan | PHCS Savility | $10.26 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $1.02 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $0.85 |
| Healthfirst | Green Leaf (Exchange) | $190.92 |
| EmblemHealth | Vytra HMO | $1.19 |
| Fidelis Care | Catastrophic (Exchange) | $1.50 |
| Cigna | Evernorth Behavioral Health | $3.95 |
| Aetna | Chesterfield Resources ASA PPO | $7.89 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $0.91 |
| UnitedHealthcare - Oxford | Liberty | $6.58 |
| Fidelis Care | Essential Plan 4 | $0.87 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $0.91 |
| BCBS (Out of State) | POS | $0.91 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $1.70 |
| Fidelis Care | Platinum for Children (Exchange) | $1.50 |
| Blue Cross Blue Shield | Local 32 BJ | $0.91 |
| EmblemHealth | WLNY-TV | $0.90 |
| Fidelis Care | Child Health Plus (CHP) | $0.87 |
| Anthem BCBS | Optum | $0.91 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $0.85 |
| Blue Cross Blue Shield | POS | $0.91 |
| BCBS (Out of State) | PPO | $0.91 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $1.19 |
| Blue Cross Blue Shield | Global Transplants | $0.91 |
| UnitedHealthcare - Oxford | Freedom | $6.58 |
| Better Health Plan | All Plans | $11.05 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $1.02 |
| MultiPlan | Administrative Concepts | $10.26 |
| UnitedHealthcare | POS | $6.58 |
| Aetna | Open Access HMO | $7.89 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $0.91 |
| EmblemHealth | CMO Essential Plan 3 | $0.85 |
| EmblemHealth | HIP Healthcare Partners HMO | $1.19 |
| Blue Cross Blue Shield | PPO | $0.91 |
| Cigna | MVP-Cigna Network | $3.95 |
| Aetna | Wellnet ASA PPO | $7.89 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $3.95 |
| UnitedHealthcare - Oxford | Metro | $6.58 |
| Blue Cross Blue Shield | Blue Priority HMO | $0.91 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $0.91 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $0.91 |
| UnitedHealthcare | POMCO (UMR) | $10.26 |
| Fidelis Care | Silver (Exchange) | $1.50 |
| Aetna | HMO | $7.89 |
| Aetna | Open Access Elect Choice EPO | $7.89 |