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Massachusetts rates for HCPCS J3245

Injection, tildrakizumab, 1 mg

Facilitymedian $155 · 10th–90th $117–$3630%20%10th90th$155Professionalmedian $123 · 10th–90th $117–$1950%50%10th90th$123$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $194.98 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $169.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $295.12 / $389.05
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $123.03 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $251.19 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $199.53
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $165.96 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $199.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $295.12 / $389.05
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $123.03 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $131.83 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $123.03 / $181.97