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Massachusetts rates for HCPCS J2425

Injection, palifermin, 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $51.29 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $41.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $91.20 / $123.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $70.79 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $61.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $91.20 / $123.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $36.31 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $36.31 / $51.29