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Massachusetts rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $28.62 / $57.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.81 / $1.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $5.36 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $2.23 / $4.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $83.43 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $3.71
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.73 / $15.30 / $59.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.66