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Massachusetts rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $440.98 / $1,037.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $440.98 / $440.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.27 / $492.86 / $1,644.30
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.54 / $1,877.54 / $1,877.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
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
$440.98 / $440.98 / $465.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.86 / $1,644.30 / $1,644.30
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.54 / $1,877.54 / $1,877.54