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Massachusetts rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.17 / $15.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.80 / $28.80 / $818.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $23.60 / $23.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $21.64 / $46.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $15.17 / $31.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $214.27
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $23.60 / $23.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $23.60 / $23.60