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Massachusetts rates for HCPCS J9039

Injection Blinatumomab 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.25 / $228.31 / $328.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $195.85
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $440.19 / $821.25
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $3,623.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.08 / $201.70 / $391.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.51 / $164.25 / $164.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $164.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.21 / $257.87 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $164.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $190.10
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.65 / $2,381.65 / $8,543.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.48 / $821.25 / $821.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $174.11 / $3,623.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $212.75