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Massachusetts rates for HCPCS J1568

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.53 / $66.06 / $12,606.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $49.43 / $65.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.10 / $115.55 / $157.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $97.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.95 / $56.66 / $64.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $47.52 / $47.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.35 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $98.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.07 / $99.07 / $237.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $53.23 / $97.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $53.23 / $97.84