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Massachusetts rates for HCPCS J2278

Injection, ziconotide, 1 mcg

Facilitymedian $13 · 10th–90th $10–$260%20%40%10th90th$13Professionalmedian $10 · 10th–90th $10–$170%50%10th90th$10$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$10.00 / $16.60 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $16.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $26.30 / $34.67
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $22.39 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $12.02
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $15.14 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $17.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $26.30 / $34.67
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $10.47 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $10.47 / $12.30