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Massachusetts rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.08 / $354.08 / $833.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.08 / $354.08 / $354.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.40 / $406.40 / $7,359.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.08 / $357.54 / $536.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.82 / $469.52 / $1,000.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.40 / $406.40 / $7,359.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.08 / $357.54 / $536.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.08 / $357.54 / $536.30