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Massachusetts rates for HCPCS J0223

Injection, givosiran, 0.5 mg

Facilitymedian $158 · 10th–90th $120–$3090%20%10th90th$158Professionalmedian $120 · 10th–90th $120–$1950%50%90th$120$100.0$500.0$2.0K$10.0K$50.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $186.21 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $154.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $302.00 / $398.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $120.23 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $257.04 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $169.82 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $204.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $302.00 / $398.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $120.23 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $120.23 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $120.23 / $128.82