go back

Massachusetts rates for HCPCS J1322

Elosulfase Alfa, Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $308.68 / $617.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $321.02 / $368.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.67 / $750.40 / $1,006.91
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.43 / $308.68 / $379.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.21 / $393.88 / $839.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.80 / $484.74 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $641.07
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.61 / $410.61 / $1,543.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.43 / $308.68 / $463.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.43 / $308.68 / $432.16