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Massachusetts rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.83 / $5,088.55 / $61,056.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,807.27 / $5,027.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.50 / $4,869.59 / $12,128.33
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $4,630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,928.07 / $4,671.22 / $9,957.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,909.00 / $4,730.52 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $7,602.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,869.59 / $4,869.59 / $18,304.15
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $5,491.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $5,491.25