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Massachusetts rates for HCPCS 80376

Drug/Substance Definitive Qual/Quant Nos 4-6

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.00 / $139.00 / $139.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.56 / $135.76 / $135.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $17.28 / $38.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.29 / $52.96 / $95.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.95 / $14.95 / $14.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.99 / $1.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $107.77
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $34.54 / $40.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.37 / $25.02 / $68.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.56 / $135.76 / $135.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $17.28 / $38.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $17.28 / $37.56