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Massachusetts rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $19.93 / $1,515.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.91 / $16.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.36 / $35.90 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $24.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.37 / $17.02 / $18.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $29.78
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $16.05 / $24.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $16.05 / $24.58