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Massachusetts rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $89.13 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $91.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $144.54 / $190.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $57.54 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $89.13 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $97.72
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $5,011.87 / $13,182.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $144.54 / $190.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $57.54 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $57.54 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $79.43