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Massachusetts rates for HCPCS J3396

Injection, verteporfin, 0.1 mg

Facilitymedian $15 · 10th–90th $11–$320%20%40%10th90th$15Professionalmedian $11 · 10th–90th $11–$220%50%10th90th$11$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$10.96 / $18.20 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $21.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $28.84 / $38.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $24.55 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $16.60
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $16.60 / $6,918.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $19.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $28.84 / $38.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $14.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $12.30