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Eptifibatide Injection

Massachusetts rates for HCPCS J1327

Injection, eptifibatide, 5 mg

Rates data updated July 2026.

How much does Eptifibatide Injection cost?

$10.23per 5 mg

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $10.23 for each 5 mg of this drug. The price depends on where it is billed: about $10.23 from a physician practice, and about $12.88 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$10.23
At a hospital outpatient department
$12.88

The same drug, in the same amount, costs 26% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.23$10.23 to $12.02
FacilityA hospital or hospital-owned outpatient department$12.88$11.48 to $16.60

How much rates vary

Facilitymedian $13 · 10th to 90th $10 to $30Professionalmedian $10 · 10th to 90th $10 to $20
$10$100$1Kfacility $13professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$16.60
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$50.12
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$30.20
Typical High
$39.81
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.02
Typical High
$19.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$21.38
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$13.49
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$6.46
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$18.62
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$30.20
Typical High
$39.81
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.02
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$7.08
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.23
Typical High
$19.05

Where Massachusetts sits

The same service costs 3.8 times more in Montana than in Missouri. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 27th of 51

$10.23

MT $36.31MO $9.55

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.