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Massachusetts rates for HCPCS J1569

Gammagard Liquid Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $2,487.46 / $9,872.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $47.13 / $62.22
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.23 / $110.15 / $150.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $89.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.57 / $54.01 / $61.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.76 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $94.10
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.57 / $1,781.09 / $9,129.24
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.05 / $89.05 / $226.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $50.75 / $89.05
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.40 / $41.86 / $71.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $50.75 / $89.05