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Massachusetts rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5,030.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $6.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $13.28 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.67 / $1,033.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $5.46 / $10.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $4.92 / $4.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.45 / $4.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.15
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.44 / $1,084.43 / $1,495.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.72 / $1,033.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.70 / $6.34