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Massachusetts rates for HCPCS J0791

Injection Crizanlizumab-Tmca 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $179.98 / $49,804.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $134.66 / $177.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.62 / $324.22 / $647.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.10 / $129.47 / $163.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.93 / $165.22 / $352.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $129.47
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $204.74 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.47 / $129.47 / $268.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.23 / $172.23 / $647.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.10 / $129.47 / $194.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.10 / $129.47 / $194.22