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Massachusetts rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $18.14 / $36.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.88 / $22.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $45.45 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $25.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.47 / $23.16 / $49.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.76 / $53.00 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $37.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $90.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $20.32 / $27.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $20.32 / $27.23