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Massachusetts rates for HCPCS J0638

Injection, canakinumab, 1 mg

Facilitymedian $195 · 10th–90th $148–$3550%20%10th90th$195Professionalmedian $148 · 10th–90th $148–$2240%50%90th$148$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
$147.91 / $229.09 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $186.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $371.54 / $501.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $147.91 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $316.23 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $165.96
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $213.80 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $245.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $371.54 / $501.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $147.91 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $147.91 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $147.91 / $154.88