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Massachusetts rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $10.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.68 / $6.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $14.63 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $5.46 / $6.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.86 / $6.97 / $14.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $11.34
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,962.67 / $1,962.67 / $1,962.67
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $5.79 / $8.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $5.79 / $8.19