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Massachusetts rates for HCPCS J9040

Bleomycin Sulfate 15 Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $29.45 / $79.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.73 / $31.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.80 / $71.33 / $875.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.82 / $1,010.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $26.44 / $51.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.03 / $34.29 / $46.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $23.29
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.62 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $245.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $24.92
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.54 / $117.32 / $200.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $875.64 / $875.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.82 / $1,010.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.76 / $43.19