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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
$1,040.08 / $1,040.08 / $2,447.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.16 / $881.68 / $2,306.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.16 / $1,019.70 / $1,254.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.32 / $1,483.30 / $3,161.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.08 / $1,040.08 / $1,040.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.88 / $1,707.79 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.71 / $411.71 / $855.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.46 / $1,162.46 / $5,404.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.70 / $1,019.70 / $1,529.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.70 / $1,019.70 / $1,729.13