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Massachusetts rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $10.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.68 / $6.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $16.72 / $314.74
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $6.97 / $14.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $11.34
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,289.07 / $4,289.07 / $4,289.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $6,903.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $8.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.72