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Massachusetts rates for HCPCS J1743

Injection, idursulfase, 1 mg

Facilitymedian $724 · 10th–90th $562–$1,4790%20%40%10th90th$724Professionalmedian $562 · 10th–90th $562–$1,0470%50%90th$562$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $870.96 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $1,174.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $616.60 / $1,862.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $562.34 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,174.90 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $812.83
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $794.33 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $933.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $616.60 / $1,862.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $562.34 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $562.34 / $1,174.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $562.34 / $588.84