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Massachusetts rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $71.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $36.97 / $43.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.75 / $89.02 / $177.75
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $44.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.15 / $45.36 / $96.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.99 / $35.54 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.63 / $71.81 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.10 / $35.54 / $73.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $177.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $53.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $60.28