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Massachusetts rates for HCPCS J1324

Injection, enfuvirtide, 1 mg

Facilitymedian $1 · 10th–90th $1–$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%50%10th90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.12 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.38 / $18.62
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.66 / $0.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1.45 / $2.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $1.02
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $5,888.44 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $1.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.38 / $18.62
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.66 / $0.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $1.32 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.68 / $0.81