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Massachusetts rates for HCPCS J1458

Injection, galsulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $508.76 / $1,017.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $529.11 / $606.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.92 / $941.10 / $1,685.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.35 / $508.76 / $643.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.90 / $649.17 / $1,383.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.76 / $803.84 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $1,056.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.74 / $676.74 / $2,423.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.35 / $508.76 / $763.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.35 / $508.76 / $862.71