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Massachusetts rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $3.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $5.60 / $95.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $552.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $2.25 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $83.43 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $95.00 / $95.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $552.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.45