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Massachusetts rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $87.10 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $72.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $138.04 / $186.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $89.13 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $95.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $138.04 / $186.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $69.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $56.23 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $79.43