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Massachusetts rates for HCPCS J9340

Thiotepa 15 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $2,376.94 / $2,376.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,184.00 / $2,184.00 / $2,184.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.66 / $264.66 / $317.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $2,376.94 / $2,376.94
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,184.00 / $2,184.00 / $2,184.00