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Massachusetts rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $508.96 / $1,017.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $529.32 / $623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.86 / $941.10 / $1,686.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $643.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.11 / $649.42 / $1,384.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $820.84 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $1,057.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.01 / $677.01 / $2,544.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $763.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $712.56