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Massachusetts rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $19.50