go back

Massachusetts rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $310.61 / $730.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.27 / $761.89 / $1,008.05
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $304.27 / $401.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.49 / $442.96 / $944.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.06 / $346.11 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.06 / $205.06 / $425.87
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.80 / $365.80 / $365.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $1,581.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $447.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $417.63