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Massachusetts rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $135.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.86 / $147.26 / $293.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $57.53 / $69.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.98 / $82.05 / $174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $119.48
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $293.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $84.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $78.95