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Massachusetts rates for HCPCS J1555

Injection Immune Globulin (Cuvitru) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $33.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $17.52 / $21.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $45.13 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $24.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $21.49 / $45.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.94 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $34.97
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
$16.84 / $18.86 / $25.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $24.29