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Massachusetts rates for HCPCS J0850

Injection, cytomegalovirus immune globulin intravenous (human), per vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.65 / $2,514.02 / $4,092.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,880.99 / $2,171.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.71 / $2,405.84 / $5,992.06
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,791.99 / $1,808.65 / $2,287.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,940.68 / $2,307.84 / $4,919.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.65 / $1,808.65 / $1,808.65
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,808.65 / $2,718.68 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.02 / $1,808.65 / $3,756.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,405.84 / $2,405.84 / $9,043.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,791.99 / $1,808.65 / $2,712.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.79 / $1,808.65 / $2,532.17