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Massachusetts rates for HCPCS J9208

Ifosfamide 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $32.97 / $253.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $28.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $79.48 / $866.62
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.71 / $587.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.01 / $30.95 / $60.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $26.59
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.99 / $53.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $127.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $29.17
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.43 / $112.43 / $112.43
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $866.62 / $866.62
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.71 / $587.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.71 / $40.29