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Massachusetts rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $1,116.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $580.79 / $670.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.61 / $818.35 / $1,821.70
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.08 / $558.46 / $706.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.23 / $712.59 / $1,519.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $882.52 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $1,159.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.86 / $742.86 / $2,792.30
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.08 / $558.46 / $837.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.08 / $558.46 / $837.69