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Massachusetts rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $9.01 / $18.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.36 / $10.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $26.17 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $16.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.67 / $11.50 / $24.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $19.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $16.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $16.42