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Massachusetts rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $4.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.58 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.40 / $3.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.65 / $5.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.58 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.40 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.40 / $3.60