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Massachusetts rates for HCPCS J0202

Lemtrada IV SOLN 12 MG/1.2ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $4,859.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,928.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,207.16 / $5,907.06 / $12,149.45
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,528.26 / $10,655.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,604.84 / $2,983.90 / $5,797.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,461.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $3,472.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82,109.37 / $82,109.37 / $82,109.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,232.21 / $12,149.45 / $12,149.45
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,575.67 / $10,655.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,528.26 / $3,147.46