go back

Massachusetts rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $70.53 / $8,561.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $52.77 / $69.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.70 / $123.35 / $168.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $97.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.39 / $60.48 / $68.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $50.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.44 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $50.74 / $105.38
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.85 / $603.14 / $3,149.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.85 / $97.85 / $253.70
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $56.83 / $97.85
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.83 / $47.63 / $74.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $56.83 / $97.85