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Massachusetts rates for HCPCS J0456

Azithromycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $7.15 / $30.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.12 / $3.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $5.47 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $7.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.60 / $5.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $4.32
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $3.56 / $20.63
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
$2.04 / $2.04 / $7.77
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $5.03 / $5.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $7.77