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Massachusetts rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $432.02 / $864.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $440.87 / $523.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.15 / $413.47 / $1,409.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $531.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.56 / $551.26 / $1,175.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $689.69 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $897.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.66 / $574.66 / $2,160.10
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $648.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $756.04