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Massachusetts rates for HCPCS 80363

Opioids and opiate analogs; 3 or 4

Facilitymedian $26 · 10th–90th $21–$430%20%10th90th$26Professionalmedian $21 · 10th–90th $21–$470%50%90th$21$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $26.30 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $35.48
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $5,888.44 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $48.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $21.38 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.38 / $52.48