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Massachusetts rates for HCPCS J0720

Injection Chloramphenicol Sodium Succinate Up To 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $116.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.36 / $39.44 / $166.51
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $50.26 / $63.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.51 / $70.77 / $150.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
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
$50.26 / $50.26 / $106.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $206.30
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $72.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $68.11