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Massachusetts rates for HCPCS J1438

Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,621.81 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,202.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $891.25 / $2,398.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $1,047.13 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $891.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $891.25 / $2,398.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $1,047.13 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,318.26 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $1,047.13 / $1,412.54