go back

Massachusetts rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $50.89 / $72.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $43.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.04 / $97.23 / $181.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.35 / $156.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.89 / $44.55 / $86.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $59.68 / $75.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.44 / $36.28 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.99 / $72.52 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $41.99
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.44 / $1,591.44 / $1,591.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $181.40 / $181.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $38.46 / $156.44
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.44 / $39.52 / $57.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $38.09 / $46.99