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Massachusetts rates for HCPCS J2840

Injection Sebelipase Alfa 1 Mg (Reinstated 01/01/2017). Savacort-50 Up To 50 Mg (Del 03/31/2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $1,225.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.29 / $941.10 / $1,787.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $520.71 / $642.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.45 / $742.59 / $1,582.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.69 / $852.71 / $8,090.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $1,081.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $2,705.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $765.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $714.72