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Massachusetts rates for HCPCS J0470

Dimecaprol Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $128.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.88 / $44.45 / $299.05
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.78 / $56.42 / $69.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.42 / $77.80 / $165.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.81 / $59.81 / $126.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $299.05
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $56.42 / $84.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $56.42 / $78.98