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Massachusetts rates for HCPCS J1554

Injection Immune Globulin (Asceniv) 500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $496.74 / $993.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $516.61 / $595.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.41 / $941.10 / $1,645.70
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.70 / $496.74 / $628.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.00 / $633.84 / $1,351.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $496.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.51 / $784.49 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $496.74 / $1,031.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.75 / $660.75 / $2,483.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.70 / $496.74 / $745.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.70 / $496.74 / $839.69