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Massachusetts rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $3.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $92.32 / $158.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.52 / $2.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.72 / $3.67
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
$1.34 / $1.34 / $2.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $158.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.52 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.52 / $2.58