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Massachusetts rates for HCPCS J1558

Injection, immune globulin (xembify), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.85 / $14.85 / $29.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $15.44 / $17.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.78 / $39.79 / $85.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $19.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $18.95 / $40.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.84 / $14.84 / $14.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $14.84 / $14.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.21 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $30.84
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
$14.85 / $16.63 / $22.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $16.63 / $20.79