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Massachusetts rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $660.69 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $416.87 / $794.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $416.87 / $851.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $416.87 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $676.08 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $549.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $416.87 / $851.14
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $416.87 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $446.68 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $588.84