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Massachusetts rates for HCPCS J0593

Injection, lanadelumab-flyo, 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered)

Facilitymedian $98 · 10th–90th $87–$2140%20%40%10th90th$98Professionalmedian $87 · 10th–90th $87–$1320%50%90th$87$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $134.90 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $91.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $218.78 / $288.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $181.97 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $112.20
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $123.03 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $144.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $218.78 / $288.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $87.10 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $93.33