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Massachusetts rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $77.62 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $47.86 / $57.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $39.81 / $165.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $50.12 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $83.18 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $91.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $39.81 / $165.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $50.12 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $50.12 / $67.61