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Massachusetts rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.66 / $0.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.70 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.80 / $1.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.34
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.07 / $23.07 / $25.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.76