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Massachusetts rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $41.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $21.83 / $28.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.42 / $56.25 / $104.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.13 / $20.99 / $25.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.52 / $26.78 / $57.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $43.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $104.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.13 / $20.99 / $31.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.13 / $20.99 / $29.39